ANNIE L FORMWALT

MOBILE, AL
NPI1861696759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AL  504)
Enumeration Date2007-06-13
Last Update Date2007-07-08
Business Address
Dr. ANNIE L FORMWALT PSY.D.
PO BOX 850818
MOBILE, AL 36685-0818
Phone number: 251-776-1217
Mailing Address
Dr. ANNIE L FORMWALT PSY.D.
7305 COTTAGE HILL RD
MOBILE, AL 36695-2829
Phone number: 251-776-1217
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