Individual
PATRICK TAYLOR MILAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
7901 CRESTWOOD BLVD, IRONDALE, AL 35210-2611
(205) 933-8101
Mailing address
4709 MELISSA WAY, VESTAVIA, AL 35243-5344
(205) 834-7135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6035G
AL
1041C0700X
Clinical Social Worker
Primary
5632C
AL
1041C0700X
Clinical Social Worker
6035G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632C
THE STATE OF ALABAMA BOARD OF SOCIAL WORK EXAMINERS
AL
01
—
6035G
ALABAMA BOARD OF SOCIAL WORK EXAMINERS
AL
01
—
A12396
OREGON BOARD OF SOCIAL WORK
OR
Enumeration date
01/23/2023
Last updated
01/03/2025
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