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Individual

MAGGIE WALLS BANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2053 OLD MONTGOMERY HWY, BIRMINGHAM, AL 35244-1677
(205) 988-8515
Mailing address
2053 OLD MONTGOMERY HWY, BIRMINGHAM, AL 35244-1677
(205) 988-8515

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2783
AL

Other

Enumeration date
07/13/2017
Last updated
07/21/2022
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