Individual
GINA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2710 LEE ROAD 401, OPELIKA, AL 36804-0343
(334) 704-3926
Mailing address
2710 LEE ROAD 401, OPELIKA, AL 36804-0343
(334) 704-3926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5556C
AL
Other
Enumeration date
08/02/2022
Last updated
12/17/2023
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