Individual
CYNTHIA VENESSA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 FOLKSTONE DR, MCDONOUGH, GA 30253-8781
(770) 898-2639
(770) 898-1077
Mailing address
1106 FOLKSTONE DR, MCDONOUGH, GA 30253-8781
(770) 898-2639
(770) 898-1077
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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