Individual
ELIZABETH SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10164 FORD AVE, RICHMOND HILL, GA 31324-3949
(912) 459-9999
Mailing address
9001 GA HIGHWAY 21 APT 1022, PORT WENTWORTH, GA 31407-6062
(191) 233-2327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
07/22/2024
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