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Individual

MISS EMILY LAUREN VALLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 CAHABA PARK CIR STE 116, BIRMINGHAM, AL 35242-5041
(262) 510-5111
(855) 380-3591
Mailing address
200 CAHABA PARK CIR STE 116, BIRMINGHAM, AL 35242-5041
(262) 510-5111
(855) 380-3591

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/05/2021
Last updated
10/05/2021
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