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NPI Code Detail

MEDICARE: ALEXIS LAND LSW

MEDICARE: ALEXIS LAND LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker44SL06817100NJ

General Provider Information

NPI Number : 1033821400
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS LAND LSW
Provider Business Mailing Address
First Line : 230 POTTERSVILLE RD
Second Line :
City : CHESTER
State : NJ
Zip : 07930-2432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 230 POTTERSVILLE RD
Second Line :
City : CHESTER
State : NJ
Zip : 07930-2432
Country : US
Telephone Number : 908-895-4931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2022
Last Update Date : 12/19/2022

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Directions to “ ALEXIS LAND LSW” Practice Location

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