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1972010254
BLAINE LIPFORD
ENTERPRISE, AL
NPI
1972010254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-08
Last Update Date
2024-01-23
Business Address
BLAINE LIPFORD M.S., LPC
1405 RUCKER BLVD
ENTERPRISE, AL 36330-2236
Phone number: 334-417-0212
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Mailing Address
BLAINE LIPFORD M.S., LPC
1405 RUCKER BLVD
ENTERPRISE, AL 36330-2236
Phone number: 334-417-0212
Copy
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