Individual
MRS. AMANDA MARIE BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3000 SOUTLAKE PARK SUITE 100, BIRMINGHAM, AL 35244
(205) 987-0724
(205) 987-0725
Mailing address
3000 SOUTLAKE PARK SUITE 100, BIRMINGHAM, AL 35244
(205) 987-0724
(205) 987-0725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1895 G
AL
1041C0700X
Clinical Social Worker
Primary
2021C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51524123
BCBS
AL
Enumeration date
06/28/2006
Last updated
09/16/2014
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