Individual
MARY TERESA DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 492-7800
Mailing address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 492-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2633G
AL
1041C0700X
Clinical Social Worker
Primary
2450C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51108826
BCBS OF ALABAMA
AL
Enumeration date
06/03/2010
Last updated
01/30/2013
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