Individual
DOMONIQUE SLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 MONTCLAIR RD APT N, IRONDALE, AL 35210-2234
(205) 848-0323
Mailing address
1501 MONTCLAIR RD APT N, IRONDALE, AL 35210
(205) 848-0323
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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