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1285916593
MARYANNA ELIZABETH MANDERVILLE
MONTGOMERY, AL
NPI
1285916593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AL 2878)
Enumeration Date
2011-09-13
Last Update Date
2011-09-13
Business Address
-- MARYANNA ELIZABETH MANDERVILLE LPC
2637 EASTERN BLVD
MONTGOMERY, AL 36117
Phone number: 334-409-9090
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Mailing Address
-- MARYANNA ELIZABETH MANDERVILLE LPC
2868 ACTON ROAD
BIRMINGHAM, AL 35243
Phone number: 205-968-8360
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