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NPI Code Detail

MEDICARE: ROY LEN ALEXANDER LCSW

MEDICARE: ROY LEN ALEXANDER LCSW
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 WorkerLCS8152CA

General Provider Information

NPI Number : 1407961683
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROY LEN ALEXANDER LCSW
Provider Business Mailing Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1024
Country : US
Telephone Number : 916-290-8100
Fax Number :
Provider Business Practice Location Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1024
Country : US
Telephone Number : 916-290-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/08/2007

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Directions to “ ROY LEN ALEXANDER LCSW” Practice Location

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