Individual
TYKEEBA M LITTLEJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2313 ATLANTA ST, GREENSBORO, NC 27406-4003
(336) 346-4666
Mailing address
2615 PONDEROSA DR, GREENSBORO, NC 27406-4733
(336) 346-4666
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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