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Individual

ALEXANDRIA MARIE FANTOZZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
112 N BROAD ST, PHILADELPHIA, PA 19102-1512
(215) 568-0860
Mailing address
25 IKEA DR, WESTAMPTON, NJ 08060-5115

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
CW023268
PA

Other

Enumeration date
09/10/2017
Last updated
07/23/2024
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