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Individual

TARAE BRUNETTE HORNSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, PIP

Contact information

Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
708 TWIN RIDGE DR, GARDENDALE, AL 35071-2855
(205) 213-7157

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1511-2397C
AL

Other

Enumeration date
09/16/2020
Last updated
09/16/2020
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