Individual
MARY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
625 15TH ST N, PELL CITY, AL 35125-1381
(205) 338-7525
(205) 836-9594
Mailing address
129 E PARK CIR, BIRMINGHAM, AL 35235-3000
(205) 836-7283
(205) 836-9594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1360C
AL
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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