Individual
DESTINI LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 W VALLEY AVE, BIRMINGHAM, AL 35209-3691
(205) 675-6592
(205) 278-5526
Mailing address
6793 DEER FOOT DR, PINSON, AL 35126-6202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3600C
AL
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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