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Individual
TAMLA ALEXANDER
Active
Individual
TAMLA ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH5143
AZ
323P00000X
Psychiatric Residential Treatment Facility
BH5143
AZ
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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