Individual
MRS. JILL FREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 N MAIN ST, ENTERPRISE, AL 36330-1775
(334) 464-2054
Mailing address
634 N MAIN ST, ENTERPRISE, AL 36330-1775
(334) 464-2054
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-402613
AL
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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