TANISHA NICOLE KINI CARROLL

DALLAS, GA
NPI1043981962
Former NameTANISHA NICOLE KINI LEAVELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-09-21
Last Update Date2021-09-21
Business Address
Mrs. TANISHA NICOLE KINI CARROLL
80 MOSSY OAK LN
DALLAS, GA 30157-1236
Phone number: 678-794-5578
Mailing Address
Mrs. TANISHA NICOLE KINI CARROLL
80 MOSSY OAK LN
DALLAS, GA 30157-1236
Phone number: 678-794-5578
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