Individual
TENECIA LATONYA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 DIXIE ST, CARROLLTON, GA 30117-3870
(770) 812-8863
Mailing address
523 DIXIE ST, CARROLLTON, GA 30117-3870
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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