Individual
ALEXA ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
137 NEWBURY ST, BOSTON, MA 02116-2912
(978) 505-9800
Mailing address
2 CLARENDON ST APT 304, BOSTON, MA 02116-6138
(978) 505-9800
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
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