Individual
ANGEL'O DESHANE HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 FLETCHER ST, CEDARTOWN, GA 30125-3249
(770) 748-1500
Mailing address
740 FLETCHER ST, CEDARTOWN, GA 30125-3249
(770) 748-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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