Individual
MICHELE CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
508 GREGORY ST, SCOTTSBORO, AL 35768-4239
(256) 259-1774
(256) 259-0761
Mailing address
2912 S BROAD ST, SCOTTSBORO, AL 35769-7527
(256) 609-8699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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