Individual
BRIDGETT ROXANNE SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2185 CLAXTON DAIRY RD APT 2, DUBLIN, GA 31021-4496
(478) 278-1751
Mailing address
2185 CLAXTON DAIRY RD APT 2, DUBLIN, GA 31021-4496
(478) 278-1751
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-306158
GA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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