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NPI Code Detail

MEDICARE: MS. KARILYN K ALEXANDER LICSW

MEDICARE:  MS. KARILYN K ALEXANDER  LICSW
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
11041C0700XClinical Social Worker12351MN

General Provider Information

NPI Number : 1255201125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARILYN K ALEXANDER LICSW
Provider Business Mailing Address
First Line : 4300 NAWADAHA BLVD
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-4034
Country : US
Telephone Number : 612-401-4319
Fax Number :
Provider Business Practice Location Address
First Line : 4300 NAWADAHA BLVD
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-4034
Country : US
Telephone Number : 612-401-4319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2025
Last Update Date : 11/06/2025

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Directions to “ MS. KARILYN K ALEXANDER LICSW” Practice Location

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