Individual
CHIQUIDA BRINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3402 MONTE CARLO DR, AUGUSTA, GA 30906-8002
(706) 495-4588
Mailing address
3402 MONTE CARLO DR, AUGUSTA, GA 30906-8002
(706) 495-4588
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
464344
GA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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