Individual
ALEXIS PAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 S 3RD ST, NEWARK, OH 43055-5335
(740) 345-6246
(740) 345-3697
Mailing address
800 MARTINSBURG RD, MOUNT VERNON, OH 43050-9509
(740) 485-9057
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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