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1629388038
AUDREY RAE MAYNOR
BIRMINGHAM, AL
NPI
1629388038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
(Licence: AL 2238)
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
Ms. AUDREY RAE MAYNOR M..Ed., LPC
150 GLENWOOD LN
BIRMINGHAM, AL 35242-5700
Phone number: 205-795-3214
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Mailing Address
Ms. AUDREY RAE MAYNOR M..Ed., LPC
1029 HENRY DR
ALABASTER, AL 35007-8947
Phone number: 205-240-2372
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