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NPI Code Detail

MEDICARE: RASHEEDA ALFORD LMSW

MEDICARE:   RASHEEDA  ALFORD  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)MSW010747GA

General Provider Information

NPI Number : 1063225589
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHEEDA ALFORD LMSW
Provider Business Mailing Address
First Line : 750 GAINES SCHOOL RD APT G121
Second Line :
City : ATHENS
State : GA
Zip : 30605-3249
Country : US
Telephone Number : 315-383-2069
Fax Number :
Provider Business Practice Location Address
First Line : 675 PULASKI ST STE 1400
Second Line :
City : ATHENS
State : GA
Zip : 30601-2384
Country : US
Telephone Number : 315-383-2069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2025
Last Update Date : 01/29/2025

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Directions to “ RASHEEDA ALFORD LMSW” Practice Location

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