Individual
ALEXANDRA ELIZABETH SCHROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 N 18TH ST STE 104, LAFAYETTE, IN 47904-3413
(765) 423-6939
Mailing address
8705 W 550 S, DELPHI, IN 46923-9327
(630) 200-6087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87900062A
IN
1041C0700X
Clinical Social Worker
Primary
34009359A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34009359A
LCSW LICENSE NUMBER
IN
Enumeration date
05/26/2022
Last updated
11/21/2024
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