Individual
ALEXA ROE
Active
Individual
ALEXA ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000122647
MA
1041C0700X
Clinical Social Worker
000223252
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000122647
ASSOCIATION OF SOCIAL WORK BOARDS
MA
Enumeration date
11/18/2019
Last updated
09/14/2020
Update your record
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