Individual
ALEXANDRA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3012 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 615-1027
Mailing address
4122 CHINESE FIR TRL, RALEIGH, NC 27610-6656
(910) 627-7368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016673
NC
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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