Individual
ALEXANDRIA BLYMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 CARRIAGE HILLS CT, RICHLANDS, NC 28574-8116
(715) 563-2120
Mailing address
108 CARRIAGE HILLS CT, RICHLANDS, NC 28574-8116
(715) 563-2120
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
11098A
NC
106H00000X
Marriage & Family Therapist
Primary
1903
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881091007
—
NC
Enumeration date
12/03/2014
Last updated
02/19/2019
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