Individual
MRS. ALEXANDRA DOMINIQUE MASON CEASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 COUNTRY BREEZE CT, PERRY, GA 31069-8408
(773) 301-9874
Mailing address
103 COUNTRY BREEZE CT, PERRY, GA 31069-8408
(773) 301-9874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007761
GA
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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