Individual
MRS. LEAH BRYANT WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3104 BLUE LAKE DR, SUITE 100, BIRMINGHAM, AL 35243-2345
(205) 977-3003
(205) 977-3939
Mailing address
3104 BLUE LAKE DR, SUITE 100, BIRMINGHAM, AL 35243-2345
(205) 977-3003
(205) 977-3939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1338C
AL
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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