Individual
MRS. KIM MUSCOLINO VARDAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
942 GERMANTOWN RD, TUSCALOOSA, AL 35406-3669
(120) 345-3376
Mailing address
942 GERMANTOWN RD, TUSCALOOSA, AL 35406-3669
(120) 345-3376
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1860
AL
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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