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Alexandra Sierra Clark, MS, SSP, NCSP

Case Manager/Care Coordinator in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1770056590
StatusActive
Last updated in NPPESApr 10, 2019

Details

NPI
1770056590
Entity type
Individual (NPI-1)
Name
Alexandra Sierra Clark
Credential
MS, SSP, NCSP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 3, 2019
Last updated
Apr 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–LAYes

Practice location

14539 Elmbridge Ave
Baton Rouge, LA 70819-2016

Phone 225-603-8323

Mailing address

14539 Elmbridge Ave
Baton Rouge, LA 70819-2016

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