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Individual

ALEX JEANLOUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2738 DIANE AVE SE, PALM BAY, FL 32909-6419
(321) 557-7219
(321) 241-2972
Mailing address
2738 DIANE AVE SE, PALM BAY, FL 32909-6419
(321) 557-7219
(321) 241-2972

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
04/12/2023
Last updated
04/12/2023
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