Individual
GREGORY ALEXANDER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5151
Mailing address
1523 LONGBRANCH AVE, GROVER BEACH, CA 93433-2508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17704
LA
Other
Enumeration date
01/16/2018
Last updated
12/07/2023
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