Individual
SAMANTA SABRINA HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
Mailing address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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