Individual
ASIA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PRISON RD, REPRESA, CA 95671-3000
(916) 985-8610
Mailing address
PO BOX 794, ROSEVILLE, CA 95678-0794
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
101149
CA
Other
Enumeration date
09/13/2017
Last updated
02/10/2023
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