Individual
MRS. ALEXANDRA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1624 BONFORTE BLVD STE D, PUEBLO, CO 81001-1680
(719) 248-0043
Mailing address
1624 BONFORTE BLVD STE D, PUEBLO, CO 81001-1680
(719) 248-0043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NLC.0106553
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926595
CO
Other
Enumeration date
08/02/2016
Last updated
06/15/2022
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