Individual provider · NPI-1
Kim Alexander, LCSW
Social Worker, Clinical · Indio, CA
NPI number1669635918
StatusActive
Last updated in NPPESDec 14, 2010
Details
- NPI
- 1669635918
- Entity type
- Individual (NPI-1)
- Name
- Kim Alexander
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2008
- Last updated
- Dec 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 17623 | CA | Yes |
Practice location
44199 Monroe StSte C
Indio, CA 92201
Phone 760-863-2952 · Fax 760-863-2954
Mailing address
44199 Monroe StSte C
Indio, CA 92201
Phone 760-863-2952 · Fax 760-863-2954
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