| |
318 N College St Ste G Auburn AL 36830-3815 | |
(334) 539-8051 | |
(205) 625-4820 |
Full Name | |
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Speciality | Social Worker |
Location | 318 N College St Ste G, Auburn, Alabama |
Authorized Official Name and Position | Kerry Baharanyi (OWNER) |
Authorized Official Contact | 3345398051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 834 Auburn AL 36831-0834 Ph: (334) 539-8051 | 318 N College St Ste G Auburn AL 36830-3815 Ph: (334) 539-8051 |
NPI Number | 1982112025 |
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Provider Enumeration Date | 01/10/2018 |
Last Update Date | 01/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982112025 | NPI | - | NPPES |
1467990002 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 3830C (Alabama) | Primary |
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