Individual
ALEXANDER SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 696-0041
Mailing address
200 RETREAT AVE, HARTFORD, CT 06106-3309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6202
CT
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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