Individual
ALEXIS JEAN MUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
3210 WEST 32ND STREET, ERIE, PA 16506
(814) 835-0100
Mailing address
3210 WEST 32ND STREET, ERIE, PA 16506
(814) 835-0100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127082
PA
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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