Individual
JOHNNAY LAQUITA EARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
09/20/2007
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