Provider Demographics
NPI:1619127958
Name:MCLEMORE, LILLIE PEARL (LGSW)
Entity Type:Individual
Prefix:MISS
First Name:LILLIE
Middle Name:PEARL
Last Name:MCLEMORE
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 FOX HILL CT
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-2526
Mailing Address - Country:US
Mailing Address - Phone:205-853-5721
Mailing Address - Fax:
Practice Address - Street 1:135 FOX HILL CT
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215-2526
Practice Address - Country:US
Practice Address - Phone:205-853-5721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2377G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker