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1912696428
ALEXIS KATHERINE GLIDEWELL
SANTA ROSA, CA
NPI
1912696428
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Former Name
ALEXIS KATHERINE STONE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW66532)
Enumeration Date
2023-05-02
Last Update Date
2023-05-02
Business Address
ALEXIS KATHERINE GLIDEWELL LCSW
2418 HIDDEN VALLEY DR
SANTA ROSA, CA 95404-2345
Phone number: 707-377-0080
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Mailing Address
ALEXIS KATHERINE GLIDEWELL LCSW
576 B ST STE 1A
SANTA ROSA, CA 95401-5269
Phone number: 707-377-0080
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