Individual
ALEXIS PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
155 2ND AVE N STE 101, TWIN FALLS, ID 83301-6163
(208) 370-8288
Mailing address
155 2ND AVE N STE 101, TWIN FALLS, ID 83301-6163
(208) 370-8288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-35048
ID
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558606962
—
ID
Enumeration date
01/21/2014
Last updated
03/06/2021
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