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Individual

TUNISIA LONDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW-S, PIP

Contact information

Practice address
34124 BURWOOD DR, SPANISH FORT, AL 36527-7301
(251) 401-5602
(251) 340-2596
Mailing address
34124 BURWOOD DR, SPANISH FORT, AL 36527-7301
(251) 401-5602
(251) 340-2596

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1421-4097C
AL
1041C0700X
Clinical Social Worker
Primary
SW19449
FL

Other

Enumeration date
06/03/2018
Last updated
06/01/2024
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