SHANISE THOMASSON

FAIRBURN, GA
NPI1386284743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2020-01-13
Last Update Date2025-01-29
Business Address
SHANISE THOMASSON
7855 CEDAR GROVE RD APT 1205
FAIRBURN, GA 30213-2328
Phone number: 209-986-0526
Mailing Address
SHANISE THOMASSON
7855 CEDAR GROVE RD APT 1205
FAIRBURN, GA 30213-2328
Phone number: 209-986-0526
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