Individual
DEVIN ROGER MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3103 CLAIRMONT RD NE, BROOKHAVEN, GA 30329-1043
(706) 599-0641
Mailing address
4406 TREELODGE PKWY, ATLANTA, GA 30350-6044
(706) 599-0641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1552518
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2021
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