Individual
MRS. ALEXANDRIA SIERRA DUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
620 NW 5TH ST STE D, MOORE, OK 73160-3947
(405) 208-4469
(405) 208-4472
Mailing address
2625 SE 10TH ST, MOORE, OK 73160-0711
(512) 736-6200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8956-P
OK
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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