Individual
ALEXANDRA MARIE NOWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
172 LIBERTY ST, NEWBURGH, NY 12550-4912
(845) 561-5783
Mailing address
172 LIBERTY ST, NEWBURGH, NY 12550-4912
(845) 561-5783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
107912
NY
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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