Individual
MERCIDEZE ALEXIS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2930 FLORENCE LN NW, BEMIDJI, MN 56601-8748
(763) 438-4611
Mailing address
2930 FLORENCE LN NW, BEMIDJI, MN 56601-8748
(763) 438-4611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27749
MN
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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