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Individual

MIRIAM BLEICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LCSW

Contact information

Practice address
908 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 934-4108
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2378C
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01150204
MS
01
051118591
BCBS
AL
01
051118592
BCBS
AL
01
051118593
BCBS
AL
01
051118594
BCBS
AL
05
132010
AL
05
132013
AL
05
132015
AL
05
132016
AL
Enumeration date
08/16/2011
Last updated
03/07/2012
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