Individual
HILLARY CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 523-2562
Mailing address
900 JOSEPH E LOWERY BLVD NW UNIT 131, ATLANTA, GA 30318-5253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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