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SIERRA BLOXSON LCSW

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

Registrant NPI Number: 1093289183

Individual Registrant:
 SIERRA  BLOXSON LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
5100 W MOUNTAIN ST APT N301  STONE MOUNTAIN, GA 30083-7419 US
Tel: 678-559-9128  Fax: --

Contact information for business:
5100 W MOUNTAIN ST APT N301  STONE MOUNTAIN, GA 30083-7419 US
Tel: --  Fax: --

Registration Information:
NPI: 1093289183
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
GACSW006066

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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