Individual
ALEXANDRIA MICULITZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 3RD AVE, BRONX, NY 10455-4029
(718) 665-2456
Mailing address
2780 3RD AVE, BRONX, NY 10455-4029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72099899
NY
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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