Individual
GENICE LOUISE CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 VALLEYDALE DR, VALLEY GRANDE, AL 36703-9305
(334) 412-0143
Mailing address
156 VALLEYDALE DR, VALLEY GRANDE, AL 36703-9305
(334) 412-0143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7513G
AL
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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