Individual
ALEXIS CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 N 16TH ST STE K, COUNCIL BLUFFS, IA 51501-0109
(712) 256-4420
Mailing address
7705 N 108TH ST, OMAHA, NE 68142-1174
(702) 885-8448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131417
IA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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