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1962452284
WALTER LE RROY ELAM
FAIRHOPE, AL
NPI
1962452284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: AL 15)
Enumeration Date
2006-05-10
Last Update Date
2010-02-03
Business Address
DR. WALTER LE RROY ELAM
761 MIDDLE ST
FAIRHOPE, AL 36532-1715
Phone number: 251-928-4750
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Mailing Address
DR. WALTER LE RROY ELAM
153 ORANGE AVE
FAIRHOPE, AL 36532-1227
Phone number: 251-990-3596
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