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Individual

ALEXA MARTIN SMITH-OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
803 STADIUM DR STE 101, ARLINGTON, TX 76011-6246
(817) 459-2003
(817) 459-1898
Mailing address
211 S COOPER ST, BOX 19129, ARLINGTON, TX 76019-0001
(817) 272-0452
(817) 272-2028

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3276
OK
1041C0700X
Clinical Social Worker
Primary
50107
TX
1041C0700X
Clinical Social Worker
DP00945879
WV
1041C0700X
Clinical Social Worker
LC19526
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q698
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/17/2008
Last updated
01/05/2023
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