Individual
ALEXANDRA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1048
(617) 855-2805
Mailing address
115 MILL ST, BELMONT, MA 02478-1048
(617) 855-2805
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
122523
MA
1041C0700X
Clinical Social Worker
223306
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122523
LICSW LICENSE
MA
Enumeration date
03/02/2017
Last updated
08/10/2020
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