MRS. Samone Mack

NPI #1609565944 in Martinez, Georgia

Provider Information

NPI Number: 1609565944
Entity Type: Individual
Name: MRS. Samone Mack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 3, 2023
Last Updated: Jun 13, 2023

Practice Location

Address: 3830 WASHINGTON RD STE 2
City: Martinez
State: Georgia
ZIP Code: 30907-5065
Phone: (912) 644-0212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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