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Individual

DR. MARK FELTON LEGGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
812 5TH AVENUE, TUSCALOOSA, AL 35401
(205) 454-1365
Mailing address
1017 MAIN AVENUE, NORTHPORT, AL 35476
(205) 454-1365

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1797
AL

Other

Enumeration date
09/05/2012
Last updated
09/05/2012
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