Individual
ISABELLE MARIE LOWREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3470 PINE LOG RD NE, RYDAL, GA 30171-1235
(678) 848-1848
Mailing address
3470 PINE LOG RD NE, RYDAL, GA 30171-1235
(678) 848-1848
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-30563
GA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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