Individual
ELIZABETH A FUNDLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1307 E ELM ST, ATHENS, AL 35611-5318
(256) 232-3661
(256) 355-6092
Mailing address
1316 SOMERVILLE RD SE STE 1, DECATUR, AL 35601-4309
(256) 260-7361
(256) 355-6092
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
11/23/2021
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