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Individual

MALLORY WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ALC

Contact information

Practice address
1314 ALFORD AVE STE 102, HOOVER, AL 35226-3169
(205) 775-7715
Mailing address
3545 GRANDVIEW PKWY APT 308, BIRMINGHAM, AL 35243-2073

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04992
AL

Other

Enumeration date
11/05/2024
Last updated
11/05/2024
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