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Individual

ALEXANDRIA PATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DSW, LCSW

Contact information

Practice address
89 LIBERTY ST, MOUNT PLEASANT, PA 15666-1663
(412) 820-1010
Mailing address
102 PASSAVANT WAY, PITTSBURGH, PA 15238-1318
(412) 820-1015

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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