Individual
MILLICENT NAOMI CHILDREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BARLEY CT, FORT MITCHELL, AL 36856-5419
(707) 335-7111
Mailing address
4 BARLEY CT, FORT MITCHELL, AL 36856-5419
(707) 335-7111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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