Individual
ALEXIS N LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 SCALEYBARK RD, SUITE B, CHARLOTTE, NC 28209-2687
(704) 608-3839
Mailing address
4316 WATERFORD VALLEY CIR, 337, CHARLOTTE, NC 28269-3117
(704) 787-6017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007640
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6009045
—
NC
Enumeration date
12/26/2011
Last updated
07/02/2013
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