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Individual

DEIRDRE GILLIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, PIP

Contact information

Practice address
27 FERNWOOD CT, TUSCALOOSA, AL 35401
(205) 887-2657
Mailing address
PO BOX 72174, TUSCALOOSA, AL 35407-2174
(205) 887-2657

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1682-4706C
AL

Other

Enumeration date
03/15/2022
Last updated
03/15/2022
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