Individual
ALEXANDRA MIRNA FUENTES-WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 EXECUTIVE PARK BLVD STE 120, WINSTON SALEM, NC 27103-1534
(336) 770-2477
Mailing address
250 EXECUTIVE PARK BLVD STE 120, WINSTON SALEM, NC 27103-1534
(336) 770-2477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015784
NC
Other
Enumeration date
01/30/2013
Last updated
08/08/2024
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