Individual
ALEXANDRA ADELE DEFINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-3112
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-3112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03599
RI
Other
Enumeration date
08/30/2018
Last updated
08/16/2022
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