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1174767354
LARRY KENNETH DANIELS
MOBILE, AL
NPI
1174767354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AL C1450A)
Enumeration Date
2009-05-01
Last Update Date
2009-05-01
Business Address
MR. LARRY KENNETH DANIELS M.A.
6512 GRELOT RD
MOBILE, AL 36695-2657
Phone number: 251-639-1022
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Mailing Address
MR. LARRY KENNETH DANIELS M.A.
PO BOX 91294
MOBILE, AL 36691-1294
Phone number: 251-639-1022
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