Individual
ALYSSA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
630 S WICKHAM RD STE 107, WEST MELBOURNE, FL 32904-1429
(321) 608-0604
Mailing address
630 S WICKHAM RD STE 107, WEST MELBOURNE, FL 32904-1429
(321) 608-0604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12384
FL
Other
Enumeration date
08/27/2013
Last updated
01/05/2022
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