Individual
ALEXIA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6328 MILESTONE LOOP, PALMETTO, FL 34221-3968
(813) 585-3020
Mailing address
PO BOX 148, PARRISH, FL 34219-0148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW22001
FL
Other
Enumeration date
04/23/2025
Last updated
06/02/2025
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