QUENDERRION MARQUEZ WHITE

JONESBORO, GA
NPI1144794710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-01-17
Last Update Date2019-01-18
Business Address
Mr. QUENDERRION MARQUEZ WHITE
124 S MAIN ST
JONESBORO, GA 30236-3599
Phone number: 404-695-2195
Mailing Address
Mr. QUENDERRION MARQUEZ WHITE
PO BOX 1243
JACKSON, GA 30233-0026
Phone number: 404-695-2195
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