Individual
MEGAN MARIE DOXTATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 11TH AVE, PHENIX CITY, AL 36867-4905
(334) 560-5393
(334) 560-5242
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
(256) 492-0131
(256) 494-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4306C
AL
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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