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Walletta Tariese Bynum Valid NPI

Individual provider · Behavior Technician · Lithonia, GA

NPI
1508530163
Type
Individual (Type 1)
Primary specialty
Behavior Technician
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
106S00000X
Sex
Female
Sole proprietor
No
Enumerated
2021-08-05
Last updated
2021-08-05
Practice location
5461 Hillandale Dr
Lithonia, GA 30058-4841
(866) 610-0580

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