Individual
ALEXIS CONDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, SAC-IT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
132928-121
WI
1041C0700X
Clinical Social Worker
Primary
12031-123
WI
Other
Enumeration date
06/28/2022
Last updated
12/18/2024
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