Individual
JILL ELIZABETH GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
750 HAMMOND DR STE 100, ATLANTA, GA 30328-5532
(678) 753-5598
Mailing address
750 HAMMOND DR STE 100, ATLANTA, GA 30328-5532
(678) 753-5598
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
RBT-16-20925
GA
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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