Individual
MISS BLONDINE ALEXANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
14300 GALLANT FOX LN STE 107, BOWIE, MD 20715-4031
(202) 830-4320
Mailing address
915 GREEN ST APT 2, ALEXANDRIA, VA 22314-4046
(301) 728-0371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16313
MD
1041C0700X
Clinical Social Worker
0904011115
VA
1041C0700X
Clinical Social Worker
16313
MD
1041C0700X
Clinical Social Worker
LC50081199
DC
Other
Enumeration date
12/20/2013
Last updated
10/05/2021
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