Provider Information for 1063628162
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Ms. MICHELLE WATERS TOUT LMFT
Sex: Female
NPI: 1063628162
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1063628162 | ||||||||
| Enumeration Date | 2007-05-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1917 STRAWBERRY LN HOOVER, AL 35244-8241 United States Phone: 205-616-6216 | Fax:205-941-9313 | ||||||||
| Primary Practice Address | 1917 STRAWBERRY LN HOOVER, AL 35244-8241 United States Phone: 205-616-6216 | Fax:205-941-0313 | ||||||||
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