Individual
CARLIESHA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2185 NORMANDIE DR, MONTGOMERY, AL 36111-2728
(334) 202-4638
Mailing address
2185 NORMANDIE DR, MONTGOMERY, AL 36111-2728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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