Individual
TAMMY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 LONG CREEK LN, RICHMOND HILL, GA 31324-8601
(205) 394-5752
Mailing address
10 LONG CREEK LN, RICHMOND HILL, GA 31324-8601
(205) 394-5752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5517
AL
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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