Individual
ALEXANDRA UTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2405592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333425
—
OH
Enumeration date
08/03/2018
Last updated
07/15/2024
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