Individual
MARY EVELYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 MEDICAL PARK DR E STE 159, BIRMINGHAM, AL 35235-3462
(205) 338-3349
(205) 838-3451
Mailing address
48 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3400
(205) 338-3349
(205) 838-3451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4585C
AL
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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