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GUIDANCE TO NEW LIGHT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE G NUNN ALA (ADMINISTRATOR)
(470) 829-4037
Entity
Organization

Contact information

Practice address
1710 NORMAN BRIDGE RD, MONTGOMERY, AL 36104-5631
(334) 840-9632
Mailing address
1710 NORMAN BRIDGE RD, MONTGOMERY, AL 36104-5631
(334) 840-9632

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
11/17/2025
Last updated
11/17/2025
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