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Individual

LISA LANDRUM ALEXANDER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
308 BARNES RD, WILLIAMSTOWN, KY 41097-9483
(859) 824-4442
(859) 824-4448
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 331-3292
(859) 578-3864

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1748
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
GROUP MEDICARE #
KY
Enumeration date
05/11/2006
Last updated
07/08/2007
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