Individual
MISS ALEXIS MICHELLE HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3270 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-2100
Mailing address
1105 BLACK PINE LN, PLEASANT HILL, CA 94523-2561
(925) 933-2501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
10/22/2010
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