Organization
AMY PROFESORSKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY RENEE PROFESORSKY (EARLY INTERVENTION SPECIALIST)
(919) 818-1897
Entity
Organization
Contact information
Practice address
1420 WHATLEY MILL CIR, LAWRENCEVILLE, GA 30045-2399
(919) 818-1897
Mailing address
1420 WHATLEY MILL CIR, LAWRENCEVILLE, GA 30045-2399
(919) 818-1897
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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