Individual
MRS. ALEXANDRA JUDITH LAGUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9929 REA RD STE 201, WAXHAW, NC 28173-6439
(704) 316-1650
(704) 316-1651
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L252-0109-2783
IL
1041C0700X
Clinical Social Worker
Primary
C013554
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ROF801112066
BLUECROSS BLUESHIELD
IL
Enumeration date
07/10/2017
Last updated
09/07/2022
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