Individual
ASHLEY NICOLE WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 N MAIN ST STE 1A, HINESVILLE, GA 31313-2562
(912) 294-4055
Mailing address
306 N MAIN ST STE 1A, HINESVILLE, GA 31313-2562
(912) 294-4055
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-206643
GA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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