Search › Georgia › 104100000X
Alexis Blackmon, LMSW
NPI 1831893106 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1444 Fenwick Dr Sw
Marietta, GA 30064 - Phone
- (678) 561-3868
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia