Most Relevant Information
Provider Data
| NPI Number: | 1003326984 |
| Provider Name: | ALEXIS DENSIE BLUE-WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/05/2017 |
| Last Updated: | 03/16/2022 |
Provider Practice Location
607 WICKER ST
SANFORD
NC
273304151
Practice Location Phone/Fax
| Phone: | 9192922614 |
| Fax: | 9199643374 |
Provider Mailing Location
68 STEWART TOWN RD
LILLINGTON
NC
275466398
Provider Mailing Phone/Fax
| Phone: | 9103912219 |
| Fax: |