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NPI Code Detail

MEDICARE: ALEXIS ALEXANDER NAVEEN LLMSW

MEDICARE: ALEXIS ALEXANDER NAVEEN LLMSW
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 WorkerMI

General Provider Information

NPI Number : 1831761923
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS ALEXANDER NAVEEN LLMSW
Provider Business Mailing Address
First Line : 19992 KELLY RD
Second Line :
City : HARPER WOODS
State : MI
Zip : 48225-1919
Country : US
Telephone Number : 248-308-4591
Fax Number :
Provider Business Practice Location Address
First Line : 19992 KELLY RD
Second Line :
City : HARPER WOODS
State : MI
Zip : 48225-1919
Country : US
Telephone Number : 248-308-4591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2021
Last Update Date : 07/16/2021

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