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Individual

GINA M ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
109 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-3361
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 236-3361

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3231
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3231
LICENSE #
KY
Enumeration date
10/28/2008
Last updated
10/28/2008
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