WANDA LEWIS GHOLSTON

MONTGOMERY, AL
NPI1902926991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: AL  1378B)
Enumeration Date2007-03-31
Last Update Date2007-07-08
Business Address
-- WANDA LEWIS GHOLSTON MA LBSW
4520 EXECUTIVE PARK DR SUITE B-100
MONTGOMERY, AL 36116-1619
Phone number: 334-270-3181
Mailing Address
-- WANDA LEWIS GHOLSTON MA LBSW
103 WILLIAMS ST
MUSCLE SHOALS, AL 35661-1157
Phone number: 256-426-1856
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