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1174184881
MITCHELL GLEN BEAVERS
TUSCALOOSA, AL
NPI
1174184881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: AL 2103)
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
Dr. MITCHELL GLEN BEAVERS Ph.D, Psychologist
661 HELEN KELLER BLVD
TUSCALOOSA, AL 35404-2963
Phone number: 205-344-6169
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Mailing Address
Dr. MITCHELL GLEN BEAVERS Ph.D, Psychologist
661 HELEN KELLER BLVD
TUSCALOOSA, AL 35404-2963
Phone number: 205-344-6169
Copy
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