Individual
TYCOMA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 JOHNSTON DRIVE, ANNISTON, AL 36207
(256) 452-7231
Mailing address
1332 JOHNSTON DR, ANNISTON, AL 36207-4045
(256) 452-7231
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
AL
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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