Individual
OKON C DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 242-4348
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 242-4348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2059G
AL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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