Individual
ALEXIS CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2351 12 MILE RD, BERKLEY, MI 48072-1826
(248) 544-4004
Mailing address
3121 FIRESTONE DR, STERLING HEIGHTS, MI 48310-6027
(586) 303-7989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801099593
MI
1041C0700X
Clinical Social Worker
Primary
6801103677
MI
Other
Enumeration date
12/01/2016
Last updated
01/16/2021
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