Individual
ALEXANDRA MARIE MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 N MILWAUKEE ST STE 202, MILWAUKEE, WI 53202-5830
(920) 621-9029
Mailing address
240 N MILWAUKEE ST STE 202, MILWAUKEE, WI 53202-5830
(920) 621-9029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130301-121
WI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130301-121
LICENSE
WI
01
—
9314-123
SOCIAL WORK LICENSE - CLINICAL
WI
Enumeration date
09/12/2016
Last updated
11/13/2023
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