Individual
ALEXA ANN SERVODIDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3600 JEROME AVE, BRONX, NY 10467-1052
(718) 881-7600
Mailing address
66 HOBART AVE, PORT CHESTER, NY 10573-2712
(914) 882-7242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079638
NY
Other
Enumeration date
01/10/2009
Last updated
08/10/2012
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