Individual
MISS ALEXIS RACHEL HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
91 W 4750 N, PROVO, UT 84604-5502
(801) 901-0914
Mailing address
91 W 4750 N, PROVO, UT 84604-5502
(801) 901-0914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12345014-3501
UT
1041C0700X
Clinical Social Worker
149019982
IL
Other
Enumeration date
11/06/2018
Last updated
05/12/2023
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