Individual
MS. ALEXANDRA AURELIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
640 W 20TH ST, SAN PEDRO, CA 90731-5520
(310) 490-1608
Mailing address
640 W 20TH ST, SAN PEDRO, CA 90731-5520
(310) 490-1608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25747
CA
Other
Enumeration date
04/04/2007
Last updated
03/22/2017
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