Individual
ALEXIS DEIGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
627 KIMBARK ST, LONGMONT, CO 80501-4910
(715) 577-3737
Mailing address
1704 GROVE ST APT 1, BOULDER, CO 80302-6494
(715) 577-3737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09929512
CO
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2020
Last updated
01/24/2024
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