GENEDRA SMALL

HEPHZIBAH, GA
NPI1841993250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2023-03-24
Last Update Date2024-04-22
Business Address
GENEDRA SMALL CPS-MH
2805 BRENTWAY DR
HEPHZIBAH, GA 30815-6221
Phone number: 706-888-1291
Mailing Address
GENEDRA SMALL CPS-MH
2805 BRENTWAY DR
HEPHZIBAH, GA 30815-6221
Phone number: 762-233-1533
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