TAMICIA DESTINY ELLISON

LAWRENCEVILLE, GA
NPI1053054262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-04-15
Last Update Date2022-04-15
Business Address
TAMICIA DESTINY ELLISON
833 HURRICANE SHOALS RD NE
LAWRENCEVILLE, GA 30043-4821
Phone number: 833-628-8476
Mailing Address
TAMICIA DESTINY ELLISON
2802 HIDDEN FOREST CT SE
ATLANTA, GA 30316-4216
Phone number:
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