Individual
DENICIA ADONIYA BOATSWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 CHEYENNE DR, COVINGTON, GA 30016-6607
(404) 626-3364
Mailing address
135 CHEYENNE DR, COVINGTON, GA 30016-6607
(404) 626-3364
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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