Individual
ALEXANDRA HART LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
374 GREENO RD S, FAIRHOPE, AL 36532-1916
(251) 450-2211
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4408C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4408C
ALABAMA STATE BOARD OF SOCIAL WORK EXAMINERS
AL
01
—
4473G
ALABAMA STATE BOARD OF SOCIAL WORK EXAMINERS
AL
Enumeration date
06/12/2018
Last updated
07/06/2020
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