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Individual

MRS. CARRIE PRITCHARD BEARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LPC

Contact information

Practice address
1017 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-2100
(334) 418-6540
Mailing address
1017 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-2100
(334) 418-6540

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2226
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330000021
AL
Enumeration date
05/11/2010
Last updated
05/11/2010
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