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Individual

ALEXANDRIA SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1480 S DESERT CREST DR, TUCSON, AZ 85713-1003
(520) 623-7197
Mailing address
1480 S DESERT CREST DR, TUCSON, AZ 85713-1003
(520) 623-7197

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 10381
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCSW 10381
ARIZONA BOARD OF BEHAVIORAL HEALTH LICENSE
AZ
Enumeration date
10/13/2011
Last updated
10/13/2011
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