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Individual

ALEXIS NICOLE KOJO I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 710145, SAN DIEGO, CA 92171-0145
(619) 346-4020
Mailing address
PO BOX 710145, SAN DIEGO, CA 92171-0145
(619) 346-4020

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
133935
CA
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
CA
225400000X
Rehabilitation Practitioner
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LLTFF1095588
BLUECROSS
CA
Enumeration date
05/28/2019
Last updated
02/03/2026
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