Individual
GITANJALI ANBALAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 LEGACY PARK, RIDGELAND, MS 39157-4315
(769) 233-7154
Mailing address
402 B LEGACY PARK, RIDGELAND, MS 39157-4315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MS
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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