Provider Information for 1043568785
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Mrs. VENITA ELIZABETH GOWDY LPC, RPT
Sex: Female
NPI: 1043568785
Last Updated: 2012-08-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1043568785 | ||||||||
| Enumeration Date | 2012-08-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 417 13TH CT NW CENTER POINT, AL 35215-6004 United States Phone: 205-480-7779 | Fax: | ||||||||
| Primary Practice Address | 940 MONTCLAIR RD STE 200 BIRMINGHAM, AL 35213-1217 United States Phone: 205-480-7779 | Fax: | ||||||||
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