Individual
CRYSTAL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 ARBOR DR, ROCKMART, GA 30153-8236
(678) 326-8613
Mailing address
217 ARBOR DR, ROCKMART, GA 30153-8236
(678) 326-8613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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