Individual
ASHLEY NICHOLE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5010 N STONE MILL RD STE B, BLOOMINGTON, IN 47408-9320
(812) 929-2193
Mailing address
5010 N STONE MILL RD STE B, BLOOMINGTON, IN 47408-9320
(812) 929-2193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010509A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201128140B
—
IN
Enumeration date
04/06/2022
Last updated
04/06/2022
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