Individual
KELLY HAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1359 SPRING HILL AVE, MOBILE, AL 36604-3210
(251) 317-3951
Mailing address
208 WACKER LN S, MOBILE, AL 36608-1346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04920
AL
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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