Individual
ALEXIS NICOLE TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12234 SHADOW CREEK PKWY STE 4104, PEARLAND, TX 77584-7333
(281) 315-9508
Mailing address
12234 SHADOW CREEK PKWY STE 4104, PEARLAND, TX 77584-7333
(281) 315-9508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60918
TX
Other
Enumeration date
04/12/2019
Last updated
05/07/2019
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