Individual
KERRY BAHARANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
122 N 20TH ST, BUILDING #26, OPELIKA, AL 36801-5442
(334) 749-3593
(334) 749-3594
Mailing address
409 E THACH AVE, AUBURN, AL 36830-5539
(334) 707-6007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3830C
AL
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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