Individual
REGINA LARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 BOB WALLACE AVE SW STE 1, HUNTSVILLE, AL 35805-4007
(256) 686-9195
Mailing address
3309 BOB WALLACE AVE SW STE 1, HUNTSVILLE, AL 35805-4007
(256) 686-9195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04883
AL
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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