LAQUASHIA SHAWNTELL WIDER

FAYETTEVILLE, GA
NPI1992513105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-12-19
Last Update Date2024-12-19
Business Address
LAQUASHIA SHAWNTELL WIDER BT
120 BERKLEY PL
FAYETTEVILLE, GA 30214-3720
Phone number: 404-662-9116
Mailing Address
LAQUASHIA SHAWNTELL WIDER BT
120 BERKLEY PL
FAYETTEVILLE, GA 30214-3720
Phone number: 404-662-9116
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