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Individual

ALESSANDRA GRACE SORRENTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 488-5283
Mailing address
144 S JEFFERSON RD UNIT 103, SOUTH BURLINGTON, VT 05403-7941
(516) 640-2109

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890134336
VT
1041C0700X
Clinical Social Worker
090044
NY

Other

Enumeration date
07/19/2017
Last updated
01/08/2024
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