Most Relevant Information
Provider Data
| NPI Number: | 1003503756 |
| Provider Name: | ALEXIS AVERETT |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | MSW011012 |
Most Important Dates
| Enumeration Date: | 04/21/2023 |
| Last Updated: | 04/21/2023 |
Provider Practice Location
912 MEADOWOOD LN
DOUGLASVILLE
GA
301358807
Practice Location Phone/Fax
| Phone: | 6785220119 |
| Fax: |
Provider Mailing Location
912 MEADOWOOD LN # 912
DOUGLASVILLE
GA
301358807
Provider Mailing Phone/Fax
| Phone: | 6785220119 |
| Fax: |