Individual
TERRA TWYMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 NORTH ST E, TALLADEGA, AL 35160-2503
(205) 705-9044
Mailing address
1004 NORTH ST E, TALLADEGA, AL 35160-2503
(205) 705-9044
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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