Individual
LATORIS TEAGUE-HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1733 W MAIN ST STE 100, DOTHAN, AL 36301-1345
(334) 347-5003
Mailing address
107 CONSTITUTION DR, DOTHAN, AL 36303-2323
(334) 796-4834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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