Individual
MRS. LAVONIA DENISE SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4782 MCGILL CT, HOOVER, AL 35226-6001
(757) 589-3702
Mailing address
4782 MCGILL CT, HOOVER, AL 35226-6001
(175) 758-9370
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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