Organization
ALEXANDRIA CHAMPAGNE, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA CHRYSTIANNA CHAMPAGNE LCSW (LEAD THERAPIST)
(312) 298-9104
Entity
Organization
Contact information
Practice address
1357 W BERWYN AVE APT 1, CHICAGO, IL 60640-2275
(734) 664-1596
Mailing address
1357 W BERWYN AVE APT 1, CHICAGO, IL 60640-2275
(734) 664-1596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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