Individual
ALEXANDRA EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 818-3893
Mailing address
6730 N 13TH ST, PHOENIX, AZ 85014-1122
(602) 818-3893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW21064
AZ
1041C0700X
Clinical Social Worker
LCSW8061
TN
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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