Individual
MRS. ALEXIS GOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 LAKEWOOD LOOP, HATTIESBURG, MS 39402
(601) 467-3230
Mailing address
PO BOX 18185, HATTIESBURG, MS 39404-8185
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M9553
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
12/13/2021
Last updated
12/13/2021
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