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Individual

HAILEY DANYEL WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2800 SCENIC DR STE 12, BLUE RIDGE, GA 30513-1402
(706) 946-0466
Mailing address
2800 SCENIC DR STE 12, BLUE RIDGE, GA 30513-1402
(706) 946-0466

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
GA

Other

Enumeration date
01/12/2023
Last updated
01/12/2023
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