Individual
ASIA CORY ALEXZANDRA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
49 JONATHAN CT SW APT 49, MARIETTA, GA 30060
(562) 240-4646
Mailing address
49 JONATHAN CT SW APT 49, MARIETTA, GA 30060
(562) 240-4646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW00896
GA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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