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1922793439
SHELBI LAKE
TUSCALOOSA, AL
NPI
1922793439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: AL 5309C)
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
SHELBI LAKE
2209 9TH ST
TUSCALOOSA, AL 35401-2300
Phone number: 205-391-3131
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Mailing Address
SHELBI LAKE
2209 9TH ST
TUSCALOOSA, AL 35401-2300
Phone number:
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