Individual
SIMON VANDAGRIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 FAIRGROUND RD, FLORENCE, AL 35630-1283
(256) 712-2822
Mailing address
115 FAIRGROUND RD, FLORENCE, AL 35630-1283
(256) 712-2822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C4023A
AL
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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