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Individual

BRENT J MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1644 SLAUGHTER RD, MADISON, AL 35758-8610
(256) 325-1690
(256) 325-2090
Mailing address
1644 SLAUGHTER RD, MADISON, AL 35758-8610
(256) 325-1690
(256) 325-2090

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
0706C
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51528331
BCBS
AL
Enumeration date
08/05/2006
Last updated
03/02/2011
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