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Individual

LISA MARJORIE DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
607 MARLBOROUGH ST, MONTGOMERY, AL 36109-2154
(334) 833-5512
Mailing address
607 MARLBOROUGH ST, MONTGOMERY, AL 36109-2154
(334) 833-5512

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1179540
AL

Other

Enumeration date
10/02/2025
Last updated
10/07/2025
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