Alexandra Demascole, LCSWA
Social Worker, Clinical in Durham, NC. Individual provider (NPI-1).
NPI number1164033445
StatusActive
Last updated in NPPESAug 11, 2020
Details
- NPI
- 1164033445
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Demascole
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2020
- Certification date
- Aug 11, 2020
- Last updated
- Aug 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P013972 | NC | Yes |
Practice location
508 Fulton StDurham, NC 27705-3875
Phone 919-286-0411
Mailing address
314 W Jones St Apt 338Raleigh, NC 27603-8060
Phone 484-553-8734
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