Individual
LAUREN DENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 N MAIN ST, ENTERPRISE, AL 36330-2539
(334) 350-0711
Mailing address
204 N MAIN ST, ENTERPRISE, AL 36330-2539
(334) 350-0711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019-054
AL
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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