Individual
DEANNA BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 LINSHIRE CREST CT, STONE MOUNTAIN, GA 30087-6082
(470) 538-2101
Mailing address
908 LINSHIRE CREST CT, STONE MOUNTAIN, GA 30087-6082
(470) 538-2101
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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