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Individual

ALEXANDRA REAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 E REDLANDS BLVD STE 215, REDLANDS, CA 92373
(909) 793-1078
Mailing address
101 E REDLANDS BLVD STE 215, REDLANDS, CA 92373-4724

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
106S00000X
Behavior Technician
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/24/2017
Last updated
09/18/2018
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