Individual
ALEXANDRIA PATRICK
Active
Individual
ALEXANDRIA PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW130407
PA
1041C0700X
Clinical Social Worker
Primary
CW020214
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW130407
—
PA
Enumeration date
10/19/2015
Last updated
01/03/2024
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