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Individual

ALEXA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
154 E MAIN ST, CLARKSBURG, WV 26301-2160
(304) 933-3073
Mailing address
154 E MAIN ST, CLARKSBURG, WV 26301-2160

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WV

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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