Individual
ALEXIS KATHERINE GLIDEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2418 HIDDEN VALLEY DR, SANTA ROSA, CA 95404-2345
(707) 377-0080
Mailing address
576 B ST STE 1A, SANTA ROSA, CA 95401-5269
(707) 377-0080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW66532
CA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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