Individual
ELIZABETH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1996
(205) 317-4330
Mailing address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5678G
AL
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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