ALYSSA A THAXTON

ST AUGUSTINE, FL
NPI1043544356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW14679)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: GA  CWS004742)
1041C0700X Social Worker, Clinical
(Licence: NV  9980-C)
Enumeration Date2009-09-21
Last Update Date2022-06-20
Business Address
Mrs. ALYSSA A THAXTON LCSW
485 AVENTURINE AVE
ST AUGUSTINE, FL 32086-0373
Phone number: 706-917-9212
Mailing Address
Mrs. ALYSSA A THAXTON LCSW
485 AVENTURINE AVE
ST AUGUSTINE, FL 32086-0373
Phone number: 706-917-9212