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Individual

ALEXANDER NEWSOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLMSW

Contact information

Practice address
115 W MAUMEE ST, ADRIAN, MI 49221-2019
(517) 295-2767
Mailing address
115 W MAUMEE ST, ADRIAN, MI 49221-2019
(517) 295-2767

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801110365
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801110365
LLMSW
MI
Enumeration date
06/25/2021
Last updated
07/01/2021
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