Individual
ALEXIS TATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1101 BOYD BLVD, LA PORTE, IN 46350-4424
(219) 229-0109
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(214) 992-6832
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007502A
IN
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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