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Individual

HALLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1715 FRIENDSHIP CIR STE 300, CUMMING, GA 30028-6920
(770) 240-0163
(770) 240-0163
Mailing address
8470 WALLACE TATUM RD, CUMMING, GA 30028-3670
(423) 829-0069
(770) 240-0163

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
GA

Other

Enumeration date
11/11/2020
Last updated
11/11/2020
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