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Individual

MRS. MINDI MARLENA AMBERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBSW, ALC

Contact information

Practice address
244 DOUGLAS DR, ANNISTON, AL 36207-6439
(256) 294-3549
Mailing address
244 DOUGLAS DR, ANNISTON, AL 36207-6439
(256) 294-3549

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2073A
AL
104100000X
Social Worker
4285B
AL

Other

Enumeration date
04/03/2013
Last updated
04/03/2013
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