Individual
DINA GUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 JOE KENNEDY BLVD STE 13, STATESBORO, GA 30458-3113
(912) 208-2024
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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