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PEGGY SANDERFORD PONDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2117 UNIVERSITY BLVD, BIRMINGHAM, AL 35233-3107
(205) 585-1713
Mailing address
4917 CLAIRMONT AVE S, BIRMINGHAM, AL 35222-4420
(205) 585-1713

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
11290
106H00000X
Marriage & Family Therapist
64
AL

Other

Enumeration date
02/01/2010
Last updated
02/10/2010
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