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MEGAN MARIE DOXTATOR

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1447809561

Individual Registrant:
 MEGAN MARIE DOXTATOR 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1502 11TH AVE  PHENIX CITY, AL 36867-4905 US
Tel: 334-560-5393  Fax: 334-560-5242

Contact information for business:
PO BOX 97  GADSDEN, AL 35902-0097 US
Tel: 256-492-0131  Fax: 256-494-6000

Registration Information:
NPI: 1447809561
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AL4306C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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