Individual
MS. ADRIENNE D STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SAN LEANDRO BLVD APT 116, SAN LEANDRO, CA 94578-5006
(510) 850-9137
Mailing address
2600 SAN LEANDRO BLVD APT 116, SAN LEANDRO, CA 94578-5006
(510) 850-9137
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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