Lauren Izetta Dewitt

NPI #1043047731 in Pooler, Georgia

Provider Information

NPI Number: 1043047731
Entity Type: Individual
Name: Lauren Izetta Dewitt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 17, 2024
Last Updated: Sep 17, 2024

Practice Location

Address: 105 GRAND CENTRAL BLVD STE 101
City: Pooler
State: Georgia
ZIP Code: 31322-4146
Phone: (912) 244-3305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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