Individual
NICK CONIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ALC
Contact information
Practice address
301 S 8TH ST, OPELIKA, AL 36801-4943
(866) 991-6864
Mailing address
PO BOX 362084, BIRMINGHAM, AL 35236-2084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3445A
AL
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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