Individual
MRS. EMANDA WIMBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
810 N UNIROYAL RD, OPELIKA, AL 36804-9726
(256) 861-0129
Mailing address
810 N UNIROYAL RD, OPELIKA, AL 36804-9726
(334) 703-9167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4849C
AL
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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