Individual
MRS. TYKESHA PORSHA BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
737 CROSSCREEK TRL, PELHAM, AL 35124-1503
(205) 382-9017
Mailing address
737 CROSSCREEK TRL, PELHAM, AL 35124-1503
(205) 382-9017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5790B
AL
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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