Individual
MISS ALEXIS ANNA-MAY KOUTROULAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
247 N 2ND ST, 1L, PHILADELPHIA, PA 19106-1300
(717) 475-3105
Mailing address
247 N 2ND ST, 1L, PHILADELPHIA, PA 19106-1300
(717) 475-3105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016332
PA
Other
Enumeration date
01/24/2010
Last updated
01/24/2010
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