Individual
MRS. TANCANEKIA LATRICE COOPER-PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 21ST STREET ENSLEY, BIRMINGHAM, AL 35218-2963
(205) 968-1460
Mailing address
14545 HIGHWAY 11 S, FOSTERS, AL 35463-9515
(205) 757-0734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
ALC04275
AL
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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