Individual
SCHILEEN JUDITH HELEN MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 STATE ST FL PLAZA29, NEW YORK, NY 10004-1561
(516) 206-8900
Mailing address
3002 BENTON GRV APT 9108, POOLER, GA 31322-1950
(843) 343-4230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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