Organization
4THEKIDS SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN PRIDGEN (PRESIDENT)
(334) 390-1002
Entity
Organization
Contact information
Practice address
110 YELLOWLEAF DR, ENTERPRISE, AL 36330-2263
(334) 390-1002
(888) 326-3480
Mailing address
110 YELLOWLEAF DR, ENTERPRISE, AL 36330-2263
(334) 390-1002
(888) 326-3480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
847
AL
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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