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Individual

KENYA MARIE TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3721 6TH AVE S # AL, BIRMINGHAM, AL 35222-2409
(205) 969-2880
Mailing address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 795-3211

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-275680
AL

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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