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Individual

ALEXANDRA TOMASZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
200 SOUTHLAND DR, SIKESTON, MO 63801-4403
(573) 472-1770
(573) 472-4050
Mailing address
875 STATE ROUTE VV, KENNETT, MO 63857-9108
(573) 888-5925

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019024782
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490072190
MO
Enumeration date
02/03/2017
Last updated
04/07/2021
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