Individual
AZALEE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 PEAKS LNDG, CONYERS, GA 30013-5062
(470) 914-9730
Mailing address
627 PEAKS LNDG, CONYERS, GA 30013-5062
(470) 914-9730
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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