Individual
ALEXIS OUTERBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 WALNUT ST STE 1700, PHILADELPHIA, PA 19107-4717
(215) 982-0472
(215) 545-8496
Mailing address
1315 WALNUT ST STE 1700, PHILADELPHIA, PA 19107-4717
(215) 982-0472
(215) 545-8496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013475
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7919288
AETNA PIN
PA
Enumeration date
01/02/2007
Last updated
07/08/2007
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