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1154333896
MARTHA MIXON
ALBANY, GA
NPI
1154333896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA 001638)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
MARTHA MIXON LCSW
417 W 3RD AVE
ALBANY, GA 31701-1943
Phone number: 229-312-7001
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Mailing Address
MARTHA MIXON LCSW
417 W 3RD AVE
ALBANY, GA 31701-1943
Phone number: 229-312-7001
Copy
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