Individual
MISS ALEXIS ANN MARGARET MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
30 NORTHWEST AVE STE 120, TALLMADGE, OH 44278-1808
(330) 633-4187
(330) 633-4294
Mailing address
30 NORTHWEST AVE STE 120, TALLMADGE, OH 44278-1808
(330) 633-4187
(330) 633-4294
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1500905
OH
1041C0700X
Clinical Social Worker
S.1500905
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S1500905
—
OH
Enumeration date
08/17/2017
Last updated
03/04/2022
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