LORRAINE WHARTON
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1295559540- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 19202 PROVIDENCE CIR, STONECREST, GA, 300387114
- Phone
- (770) 335-0303
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
19202 PROVIDENCE CIR
STONECREST, GA, 300387114