AMY ELIZABETH THERIAULT

BIRMINGHAM, AL
NPI1467781302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies104100000X Social Worker
(Licence: MD  G12163)
Enumeration Date2009-12-23
Last Update Date2022-03-30
Business Address
AMY ELIZABETH THERIAULT
625 19TH STREET S
BIRMINGHAM, AL 35249-9990
Phone number: 502-656-8067
Mailing Address
AMY ELIZABETH THERIAULT
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: