Individual
MS. MARCIA E MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PIP
Contact information
Practice address
133 LAKE FRONT DR, DAPHNE, AL 36526-7658
(251) 767-7959
(251) 626-7917
Mailing address
PO BOX 7004, SPANISH FORT, AL 36577-7004
(251) 767-7959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0501-0714C
AL
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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