Individual
ALTHEA DETROIT ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW, MA, LPC
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 262-0931
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 262-0931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004703
MI
104100000X
Social Worker
6802057679
MI
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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