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EDWARD PRATT

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1487804407

Individual Registrant:
 EDWARD  PRATT 
Gender: M
Sole Proprietor

Location and contact information for practice:
21842 MAHAN DR  ROBERTSDALE, AL 36567-3740 US
Tel: 251-947-2296  Fax: --

Contact information for business:
21842 MAHAN DR  ROBERTSDALE, AL 36567-3740 US
Tel: --  Fax: --

Registration Information:
NPI: 1487804407
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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