Individual
TAYLOR FAIR PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2127 14TH AVE S, BIRMINGHAM, AL 35205-3900
(256) 591-1153
Mailing address
3768 CRESTBROOK RD, MOUNTAIN BRK, AL 35223-1556
(256) 591-1153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3513
AL
Other
Enumeration date
04/20/2017
Last updated
01/11/2020
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