Provider First Line Business Practice Location Address:
ALABAMA A & M UNIVERSITY DEPT. SWK-BHWTP2
Provider Second Line Business Practice Location Address:
GRAD.SWK-107 MCCALEP-MCINTOSH HALL
Provider Business Practice Location Address City Name:
NORMAL
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35762
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-509-3465
Provider Business Practice Location Address Fax Number:
256-372-5970
Provider Enumeration Date:
03/17/2022