Individual
ALEXANDRA LEA COVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 M ST, MODESTO, CA 95354-0755
(209) 737-0996
Mailing address
12674 W RIPON ROAD, RIPON, CA 95366
(209) 273-9797
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
100704
CA
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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