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Individual

CARLISHA NICOLE ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12318 BOYDTON PLANK RD, DINWIDDIE, VA 23841-2454
(804) 926-5519
Mailing address
470 PEARSON DR, BRODNAX, VA 23920-3111
(804) 926-5519

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/06/2018
Last updated
02/06/2018
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