Individual
MARY OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 FAYETTE CIR, SARALAND, AL 36571-2326
(251) 391-9845
Mailing address
130 FAYETTE CIR, SARALAND, AL 36571-2326
(251) 391-9845
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0717002099
VA
106H00000X
Marriage & Family Therapist
Primary
L518
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
05/03/2016
Last updated
07/15/2024
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