Individual
MS. DEIDRA MUNNERLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 724-6764
Mailing address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 724-6764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2599G
AL
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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