Individual
ALEXIS TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
201 S LAKELINE BLVD STE 602, CEDAR PARK, TX 78613-2747
(512) 200-4328
Mailing address
224 AMBER LN, JARRELL, TX 76537-1462
(512) 520-4328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105037
TX
Other
Enumeration date
07/05/2021
Last updated
10/31/2023
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