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1104230952
STEPHANIE DIANE BROUGHTON
BIRMINGHAM, AL
NPI
1104230952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: AL 3174G)
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
STEPHANIE DIANE BROUGHTON LGSW
3680 GRANDVIEW PKWY SUITE 100
BIRMINGHAM, AL 35243-3326
Phone number: 205-777-0416
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Mailing Address
STEPHANIE DIANE BROUGHTON LGSW
3680 GRANDVIEW PKWY SUITE 100
BIRMINGHAM, AL 35243-3326
Phone number: 205-777-0416
Copy
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