Individual
MARK ANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ALC
Contact information
Practice address
127 S COURT SQ, OZARK, AL 36360-0401
(334) 655-4522
Mailing address
127 S COURT SQ, OZARK, AL 36360-0401
(334) 655-4522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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