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Individual

MS. ALEXIS CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHR, LADC, LCSW

Contact information

Practice address
3909 SE 29TH ST STE 120, DEL CITY, OK 73115-2615
(405) 588-7817
Mailing address
3909 SE 29TH ST STE 120, DEL CITY, OK 73115-2615
(405) 588-7817

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/05/2008
Last updated
01/03/2025
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