Individual
MS. ERICKA LETOINDIA BETTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1554 BASIL ST, MOBILE, AL 36603-5019
(251) 652-3658
Mailing address
1554 BASIL ST, MOBILE, AL 36603-5019
(251) 367-8834
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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