Individual
ALONZO GALVIN BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW-A
Contact information
Practice address
549 COX RD, GASTONIA, NC 28054-0628
(704) 865-1558
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014016
NC
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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