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1386111466
JASON RYAN COWART
TUSCALOOSA, AL
NPI
1386111466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 2262C)
Enumeration Date
2018-10-27
Last Update Date
2018-10-27
Business Address
Mr. JASON RYAN COWART LICSW
10300 HIGHWAY 69 S
TUSCALOOSA, AL 35405-9684
Phone number: 205-442-8207
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Mailing Address
Mr. JASON RYAN COWART LICSW
PO BOX 741
FAYETTE, AL 35555-0741
Phone number: 205-442-8207
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