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Individual

BRENARD SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
238 DOVE PL, SOCIAL CIRCLE, GA 30025-3061
(706) 521-4718
Mailing address
238 DOVE PL, SOCIAL CIRCLE, GA 30025-3061

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/13/2024
Last updated
09/26/2024
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