Individual
ALEXIS SHEA STROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5007 PROVIDENCE RD STE 105, CHARLOTTE, NC 28226-5907
(704) 364-6594
(704) 362-4176
Mailing address
5007 PROVIDENCE RD STE 105, CHARLOTTE, NC 28226-5907
(734) 780-1275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012754
NC
1041C0700X
Clinical Social Worker
C102754
NC
1041C0700X
Clinical Social Worker
P009947
NC
Other
Enumeration date
04/29/2013
Last updated
02/02/2021
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