Individual
EDITH BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 PARK NORTH BLVD, CLARKSTON, GA 30021-6200
(404) 943-1070
Mailing address
815 PARK NORTH BLVD, CLARKSTON, GA 30021-6200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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