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Individual

MARY HEATHER DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1107 CHEROKEE RD, ALEXANDER CITY, AL 35010-3919
(256) 279-5869
Mailing address
1107 CHEROKEE RD, ALEXANDER CITY, AL 35010-3919
(256) 279-5869

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3256
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229248
AL
Enumeration date
02/26/2014
Last updated
01/06/2020
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