Individual
ALEX M LACOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207, DETROIT, MI 48207
(248) 895-8783
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207, DETROIT, MI 48207
(248) 895-8783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/26/2023
Last updated
04/18/2024
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