Individual
TANISHA GIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6131 MERIDIAN LN, MONTGOMERY, AL 36117-2707
(334) 294-8179
Mailing address
6131 MERIDIAN LN, MONTGOMERY, AL 36117-2707
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3611G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
AZ
Enumeration date
01/06/2015
Last updated
01/06/2015
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