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1285340406
INTERVENTION SERVICES OF SOUTHEAST ALABAMA, LLC
ENTERPRISE, AL
NPI
1285340406
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Entity Type
Organization
Authorized Contact
JESSYCA RENAE COLEMAN
Therapist
334-406-0816
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
INTERVENTION SERVICES OF SOUTHEAST ALABAMA, LLC
557 GLOVER AVE
ENTERPRISE, AL 36330-2024
Phone number: 334-308-2292
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Mailing Address
INTERVENTION SERVICES OF SOUTHEAST ALABAMA, LLC
108 CREST HILL DR
ENTERPRISE, AL 36330-4474
Phone number: 334-406-0816
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