Individual
MRS. MARY ALEX DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
295 HOSPITAL ST, MOULTON, AL 35650-1210
(256) 974-6697
Mailing address
317 HOSPITAL ST, MOULTON, AL 35650-1269
(256) 974-6697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3021G
AL
Other
Enumeration date
08/18/2010
Last updated
11/18/2011
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