Individual
TAMIKA DAVETTE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8119 GREENVILLE HWY, LUVERNE, AL 36049-6481
(334) 391-9595
Mailing address
8119 GREENVILLE HWY, LUVERNE, AL 36049-6481
(334) 391-9595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2038A
AL
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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