Individual
DEANDREA JAMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 MOUNTAIN VIEW CT, MILLBROOK, AL 36054
(205) 657-4618
Mailing address
PO BOX 682115, PRATTVILLE, AL 36068-2115
(205) 657-4618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3925
AL
Other
Enumeration date
04/20/2020
Last updated
04/24/2020
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