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MR. LETRON R. ALEXANDER SCHOOL PSYCHOLOGIST

School >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1780066001

Individual Registrant:
MR. LETRON R. ALEXANDER SCHOOL PSYCHOLOGIST
Gender: M
Sole Proprietor

Location and contact information for practice:
ROUTE 264 & HIGHWAY 191  GANADO, AZ 86505-0457 US
Tel: 928-755-4500  Fax: 928-755-4659

Contact information for business:
PO BOX 457  GANADO, AZ 86505-0457 US
Tel: 928-755-4500  Fax: 928-755-4659

Registration Information:
NPI: 1780066001
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School
AZ4527781

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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