Individual
MISS CLAIRE ELIZABETH FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
145 RIME VLG, VESTAVIA HILLS, AL 35216-6403
(205) 527-1889
Mailing address
145 RIME VLG, VESTAVIA HILLS, AL 35216-6403
(205) 527-1889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4620C
AL
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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