Individual
ALEXANDRA GEORGIANA CARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 BOULEVARD AVE, DICKSON CITY, PA 18519-1710
(570) 688-5896
Mailing address
650 BOULEVARD AVE, DICKSON CITY, PA 18519-1710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC013785
PA
Other
Enumeration date
01/08/2022
Last updated
10/16/2023
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