Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Marie Bracken

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184103343

Alexis Marie Bracken is a Student in an Organized Health Care Education/Training Program in Victorville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

15095 Amargosa Rd Ste 208
Victorville, CA 92394-1879
Phone: (760) 245-4695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence ASW94603 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184103343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 8, 2018
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

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