Individual
ALEXIS RAE MOULTON-SIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
4708 JAMES SAVAGE RD, MIDLAND, MI 48642-6527
(989) 495-9335
Mailing address
4708 JAMES SAVAGE RD, MIDLAND, MI 48642-6527
(989) 495-9335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118286
MI
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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