Individual
AMELIA SHANELL PURIFOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
3543 CLAIBORNE CIR, MONTGOMERY, AL 36116-8864
(334) 313-0083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5159C
AL
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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