Individual
MATTIE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 7TH AVE S # 500, BIRMINGHAM, AL 35233-1711
(205) 638-9193
Mailing address
1342 28TH ST S, BIRMINGHAM, AL 35205-1842
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC05019
AL
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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