Individual
MISS ALEXANDRA JORDAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
707 S GRADY WAY, RENTON, WA 98057-3224
(425) 496-0264
Mailing address
19316 BOTHELL WAY NE APT C101, BOTHELL, WA 98011-6000
(805) 368-9407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61476889
WA
1041C0700X
Clinical Social Worker
SC61166570
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2020
Last updated
06/30/2024
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