Individual
LAQUITA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12260 HIGHWAY 43, RUSSELLVILLE, AL 35653-4737
(256) 277-9440
Mailing address
12260 HIGHWAY 43, RUSSELLVILLE, AL 35653-4737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4758
AL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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