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Individual

ALEXIS LOUISE SEXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Mailing address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IN

Other

Enumeration date
04/21/2025
Last updated
04/21/2025
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