Individual
MIRANDA KING MARCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1063 NARROWS WAY, BIRMINGHAM, AL 35242-8681
(205) 757-6441
Mailing address
5163 COLONIAL PARK RD, BIRMINGHAM, AL 35242-3203
(205) 757-6441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04232
AL
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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