Individual
DENNIS MANDERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 CARRINGTON LN, DOUGLASVILLE, GA 30135-6715
(813) 390-9768
Mailing address
515 CARRINGTON LN, DOUGLASVILLE, GA 30135-6715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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