Individual
ALEXIS IONA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
507 15TH AVE NW, RUSKIN, FL 33570-3505
(301) 356-3382
Mailing address
507 15TH AVE NW, RUSKIN, FL 33570-3505
(301) 356-3382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302465
DC
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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