Individual
HALLA S HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COLONIAL CENTER PKWY STE 100N, ROSWELL, GA 30076-4892
(615) 636-1952
Mailing address
224 DARWISH DR, MCDONOUGH, GA 30252-3624
(770) 686-2429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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