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1255823605
LARRY DEAVERS
TUSCALOOSA, AL
NPI
1255823605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 1133C)
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
Mr. LARRY DEAVERS LICSW, PIP
2020 PAUL W BRYANT DR
TUSCALOOSA, AL 35401-2312
Phone number: 205-752-2504
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Mailing Address
Mr. LARRY DEAVERS LICSW, PIP
2779 BIRMINGHAM RD
CENTREVILLE, AL 35042-4640
Phone number:
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