Individual
MRS. TAUNDRA UYVETTE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 PRIVATE ROAD 1601, CHANCELLOR, AL 36316-7268
(334) 379-2787
Mailing address
505 OWENS ST, DOTHAN, AL 36301-5041
(334) 379-2787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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