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1083838981
ALEXIS NICOLE ALEXANDER
STOCKTON, CA
NPI
1083838981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- ALEXIS NICOLE ALEXANDER
8626 LOWER SACRAMENTO RD #41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
-- ALEXIS NICOLE ALEXANDER
PO BOX 691205
STOCKTON, CA 95269-1205
Phone number: 209-373-0185
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