Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 3714G | AL |
NPI | 1003433756 |
---|---|
Provider Name | Brittany Lynn Townsend |
First Address | Tuskegee, AL 36083-5001 |
Second Address | Tuskegee, AL 36083-5001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2020 |
Last Update Date | 09/07/2020 |