Rachelle Latifa Gillis

NPI #1760217509 in Vidalia, Georgia

Provider Information

NPI Number
1760217509
Entity Type
Individual
Name
Rachelle Latifa Gillis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 3, 2024
Last Updated
Sep 3, 2024

Practice Location

Address
800 NORTH ST E
State
Georgia
ZIP Code
30474-4047
Phone
(912) 537-3421

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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