Individual
TEQUILLA BROWN WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS COUNSELING
Contact information
Practice address
724 MOBILE AVE LOT 1, ALBANY, GA 31705-3264
(229) 446-0878
Mailing address
724 MOBILE AVE LOT 1, ALBANY, GA 31705-3264
(229) 446-0878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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