Individual
REBECCA LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 OLD EVA RD, EVA, AL 35621-8138
(256) 338-0265
Mailing address
18 OLD EVA RD, EVA, AL 35621-8138
(256) 338-0265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2137C
AL
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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