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1386354140
SHANEKA LYNETTE PROWELL
BIRMINGHAM, AL
NPI
1386354140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AL ALC04343)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
SHANEKA LYNETTE PROWELL
2008 21ST STREET ENSLEY
BIRMINGHAM, AL 35218-2963
Phone number: 205-224-4387
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Mailing Address
SHANEKA LYNETTE PROWELL
2073 ALPINE VLG APT C
VESTAVIA HILLS, AL 35216-5936
Phone number: 205-914-5137
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