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Individual

ALEXANDER DICKSON ARDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3070 BUSINESS PARK DR STE B, NORCROSS, GA 30071-1428
(770) 884-1050
Mailing address
359 AZALEA BLOOM DR, LOGANVILLE, GA 30052-3167

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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