Individual
MIA CHRISTIAN BROUGHTON KENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 BELL RD APT 1010, ANTIOCH, TN 37013-8020
(404) 953-9153
Mailing address
727 BELL RD APT 1010, ANTIOCH, TN 37013-8020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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