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1992494041
BRANCH ACTON
MOUNTAIN BRK, AL
NPI
1992494041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 5347C)
Enumeration Date
2023-05-04
Last Update Date
2024-04-22
Business Address
BRANCH ACTON LICSW
3918 MONTCLAIR RD STE 206
MOUNTAIN BRK, AL 35213-2418
Phone number: 205-919-1902
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Mailing Address
BRANCH ACTON LICSW
3918 MONTCLAIR RD STE 206
MOUNTAIN BRK, AL 35213-2418
Phone number: 205-919-1902
Copy
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