Individual
ALEXANDRA RUTH WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW
Contact information
Practice address
9689 CARPENTER RD, MILAN, MI 48160-9547
(513) 490-1286
Mailing address
12 E 44TH ST FL 4, NEW YORK, NY 10017-3624
(513) 490-1286
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
105334
NY
1041C0700X
Clinical Social Worker
093039
NY
1041C0700X
Clinical Social Worker
44SC06178700
NJ
1041C0700X
Clinical Social Worker
Primary
6801117122
MI
1041C0700X
Clinical Social Worker
I.2405506
OH
1041C0700X
Clinical Social Worker
SW21033
FL
Other
Enumeration date
11/07/2018
Last updated
10/25/2024
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