Dominique Lynne'e Powell

NPI #1003693953 in Hinesville, Georgia

Provider Information

NPI Number
1003693953
Entity Type
Individual
Name
Dominique Lynne'e Powell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Sep 13, 2023
Last Updated
Sep 13, 2023

Practice Location

Address
306 N MAIN ST STE 1A
State
Georgia
ZIP Code
31313-2562
Phone
(912) 415-3144

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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