Individual
MS. AMANDA LUCILLE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
4030 BROOKSIDE LN, OXFORD, AL 36203-9232
(205) 933-8101
(205) 939-4583
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2536G
AL
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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