Individual
MR. JEFFREY JOHN PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1015 MONTLIMAR DR, SUITE A-210, MOBILE, AL 36609-1713
(251) 343-4104
(251) 343-4789
Mailing address
1015 MONTLIMAR DR, SUITE A-210, MOBILE, AL 36609-1713
(251) 343-4104
(251) 343-4789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0170C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
631049953
TAX ID
AL
Enumeration date
12/05/2006
Last updated
12/02/2008
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