Individual
QUINTON LAMAR AGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4479 FLAGSTONE LN, PINSON, AL 35126-3700
(205) 306-6182
Mailing address
4479 FLAGSTONE LN, PINSON, AL 35126-3700
(205) 306-6182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7075643
AL
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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