Individual
ALEXIS RACHELLE HURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
612 SE JACKSON ST STE 11, ROSEBURG, OR 97470-4956
(541) 464-6455
(541) 464-6457
Mailing address
612 SE JACKSON ST STE 11, ROSEBURG, OR 97470-4956
(541) 464-6455
(541) 464-6457
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
T-LMSW 6923
KS
Other
Enumeration date
09/24/2007
Last updated
10/12/2009
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