Individual
CHIMWEMWE MAHDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL HEALTH
Contact information
Practice address
ANDREWS AVE BLDG 301, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7028
(334) 255-7368
Mailing address
ANDREWS AVE BLDG 301, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7028
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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