Individual
ALEXA SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
297 KINDERKAMACK RD, SUITE 212, ORADELL, NJ 07649-1538
(201) 739-2216
Mailing address
53 FLAMING ARROW RD, MAHWAH, NJ 07430-1354
(201) 739-2216
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00176600
NJ
Other
Enumeration date
01/29/2015
Last updated
03/02/2015
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