Individual
MRS. ALEXANDRA FAVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
173 EASTSIDE BLVD, WATERBURY, CT 06706-2852
(203) 565-4684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097164978
CT
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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