Individual
MR. ALEX FELIX MINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
950 S BASCOM AVE STE 1014, SAN JOSE, CA 95128-3537
(408) 290-4790
Mailing address
565 N 10TH ST # NA, SAN JOSE, CA 95112-3216
(510) 909-6947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116182
CA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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