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MRS. KENDRALIA MARSHA AGAZIE MSN, RN, LGSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598357642

Individual Registrant:
MRS. KENDRALIA MARSHA AGAZIE MSN, RN, LGSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6304 WALNUT DR.  PINSON, AL 35126 US
Tel: 205-718-1503  Fax: --

Contact information for business:
6304 WALNUT DR.  PINSON, AL 35126 US
Tel: 205-718-1503  Fax: --

Registration Information:
NPI: 1598357642
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AL2403G
Y163W00000XNursing Service Providers
Registered Nurse
AL1135712

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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