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Individual

ALEXIS B MAITLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3018 OLD MINDEN RD STE 1117, BOSSIER CITY, LA 71112-2497
(318) 746-1935
Mailing address
3018 OLD MINDEN RD STE 1117, BOSSIER CITY, LA 71112-2497
(318) 746-1935

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15858
LA

Other

Enumeration date
08/17/2017
Last updated
06/16/2025
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