Individual
MRS. MALIA ANN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
15 LONGWOOD PL, JASPER, AL 35504-7231
(205) 512-1069
(205) 512-1069
Mailing address
15 LONGWOOD PL, JASPER, AL 35504-7231
(205) 512-1069
(205) 512-1069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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