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1154870921
MARION KELLOUGH
TUSCALOOSA, AL
NPI
1154870921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: AL 3635C)
Enumeration Date
2016-09-22
Last Update Date
2016-09-22
Business Address
MARION KELLOUGH L.C.S.W.
420 28TH AVE STE 100
TUSCALOOSA, AL 35401-1089
Phone number: 205-410-4061
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Mailing Address
MARION KELLOUGH L.C.S.W.
420 28TH AVE STE 100
TUSCALOOSA, AL 35401-1089
Phone number: 205-410-4061
Copy
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