Individual
OLIVIA C PIRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
10446 COUNTY LINE RD, MADISON, AL 35756-4504
(256) 425-3706
Mailing address
PO BOX 472, TANNER, AL 35671-0472
(256) 258-9389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04210
AL
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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