Individual
JANIE DAVIS HAMRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-18-61782
Contact information
Practice address
4061 SUZANNE DR, DIBERVILLE, MS 39540-3735
(228) 396-4434
Mailing address
4061 SUZANNE DR, DIBERVILLE, MS 39540-3735
(228) 396-4434
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-61782
MS
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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