Individual
DR. NATHAN EDWARD POPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LICSW
Contact information
Practice address
308 3RD ST E, FRUITHURST, AL 36262-3751
(256) 926-8797
Mailing address
308 3RD ST E, FRUITHURST, AL 36262-3751
(256) 926-8797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4618C
AL
1041C0700X
Clinical Social Worker
CSW007489
GA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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