Individual
CHARLOTTE HALE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
480 S CACHE ST # 15, JACKSON, WY 83001-8222
(307) 732-6670
Mailing address
PO BOX 11986, JACKSON, WY 83002-1986
(908) 872-7594
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
856
WY
Other
Enumeration date
03/19/2009
Last updated
03/27/2015
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