Individual
MR. ALEXANDER MAYSURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
1500 WEISS ST, SAGINAW, MI 48602-5251
(989) 497-2500
Mailing address
1500 WEISS ST, SAGINAW, MI 48602-5251
(989) 497-2500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092206
MI
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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