Individual
ALEXA MARIE HOVERDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 442-9022
Mailing address
2854 N RACINE AVE, CHICAGO, IL 60657-8863
(816) 536-1069
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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