Individual
ALEXA NICOLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1507 W LAWRENCE AVE, CHICAGO, IL 60640-4702
(773) 569-1468
Mailing address
2102 N ALBANY AVE APT 3, CHICAGO, IL 60647-3868
(972) 835-1346
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149025790
IL
Other
Enumeration date
06/15/2023
Last updated
08/16/2023
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