Individual
MARY DAWN WESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
107 MAPLE RIDGE BLVD NW, MADISON, AL 35757-6338
(256) 658-7532
Mailing address
107 MAPLE RIDGE BLVD NW, MADISON, AL 35757-6338
(256) 658-7532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4856C
AL
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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