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1740762376
ALEXANDRA ADELE DEFINA
FORT CAMPBELL, KY
NPI
1740762376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW03599)
Enumeration Date
2018-08-30
Last Update Date
2022-08-16
Business Address
ALEXANDRA ADELE DEFINA LICSW
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-3112
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Mailing Address
ALEXANDRA ADELE DEFINA LICSW
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-3112
Copy
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