Individual
MRS. MARY BLAYDES ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
200 E MEMORIAL DR, SUITE 6, DALLAS, GA 30132-3811
(770) 505-1431
(770) 505-1431
Mailing address
200 E MEMORIAL DR, SUITE 6, DALLAS, GA 30132-3811
(770) 505-1431
(770) 505-1431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003206
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
795105989A
—
GA
Enumeration date
03/16/2007
Last updated
03/30/2021
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