Individual
ALEXANDRA KISSILENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 7TH AVE STE 1106, NEW YORK, NY 10019-0029
(646) 797-4340
Mailing address
850 7TH AVE STE 1106, NEW YORK, NY 10019-0029
(646) 797-4340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119849
NY
1041C0700X
Clinical Social Worker
6547
CT
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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