An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
GA license #GAOT2642taxonomy 174400000X
Identifiers
Type
Value
Notes
01 (WA)
1639204050
NPI
01 (GA)
1639368533
NPI
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
WE Play
Type code 3recorded 2020-02-10
WE Play
Type code 3recorded 2016-10-25
Practice context
Multi-provider organization.
9 individual providers on file at this primary address.
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