Individual
LATONYA RENA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
300 STATE ST, MOBILE, AL 36603-6425
(252) 237-4039
Mailing address
1801 HOLT RD APT 502, MOBILE, AL 36617-3840
(251) 234-2154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3061A
AL
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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