Individual
INEKA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3675 CRESTWOOD PKWY NW STE 472, DULUTH, GA 30096-5136
(470) 287-5399
(305) 508-6697
Mailing address
317 SENATOR RD, DOUGLASVILLE, GA 30134-5468
(561) 856-5063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
03/20/2023
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