SAMANTHA KELLY BLAKE DAVIS

WOODSTOCK, GA
NPI1134908247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
Mrs. SAMANTHA KELLY BLAKE DAVIS
622 THE GENERAL AVE
WOODSTOCK, GA 30189-3412
Phone number: 404-310-0082
Mailing Address
Mrs. SAMANTHA KELLY BLAKE DAVIS
622 THE GENERAL AVE
WOODSTOCK, GA 30189-3412
Phone number: 404-310-0082