Individual
MAYRA SAMANTHA ALONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2539 VILLAGE CREEK LNDG SE, ATLANTA, GA 30316-3278
(401) 481-6098
Mailing address
2539 VILLAGE CREEK LNDG SE, ATLANTA, GA 30316-3278
(401) 481-6098
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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