Individual
ALEXANDRA SERGEEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-7551
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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