Individual
MS. PATSY GARDNER ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5455
SC
104100000X
Social Worker
5455
SC
1041C0700X
Clinical Social Worker
Primary
5455
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1085
—
SC
Enumeration date
07/30/2008
Last updated
03/31/2015
Update your record
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