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1659125078
KIRSTEN ETHERIDGE
BIRMINGHAM, AL
NPI
1659125078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AL ALC04506)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
KIRSTEN ETHERIDGE
1430 GADSDEN HWY
BIRMINGHAM, AL 35235-3103
Phone number: 205-451-2093
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Mailing Address
KIRSTEN ETHERIDGE
1920 INDIAN LAKE DR
BIRMINGHAM, AL 35244-2217
Phone number: 205-451-2093
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