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Individual

ALEXIS WILLIS-MCGLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 899-3704
Mailing address
3931 1/2 2ND AVE, SACRAMENTO, CA 95817-3005
(559) 696-4507

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-17-42829
CA
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
CA
175T00000X
Peer Specialist

Other

Enumeration date
03/21/2018
Last updated
08/02/2023
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