Individual
ALEXANDRIA DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
330 W BERGERA RD UNIT D, BRAIDWOOD, IL 60408-1518
(815) 370-3999
Mailing address
330 W BERGERA RD UNIT D, BRAIDWOOD, IL 60408-1518
(815) 370-3999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149025943
IL
Other
Enumeration date
12/10/2018
Last updated
12/12/2023
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