Individual
ANGELINA MARION BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 STAMBUK LN APT 622A, STATESBORO, GA 30458-0203
(912) 228-1853
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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