Individual
ALEXANDRA LEIGH LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5423 MAHONING AVE STE H, YOUNGSTOWN, OH 44515-2435
(330) 633-4187
Mailing address
181 GLENVIEW RD, CANFIELD, OH 44406-1153
(330) 283-3365
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S-1601212
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-1601212
OHIO CSWMFT BOARD
OH
Enumeration date
01/25/2022
Last updated
05/13/2022
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