Individual
MRS. ALEXANDRA A WILKOSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1387 FAIRPORT RD, SUITE 1000D, FAIRPORT, NY 14450-2003
(585) 641-0281
(585) 641-0286
Mailing address
1387 FAIRPORT ROAD, SUITE 1000D, FAIRPORT, NY 14450
(585) 641-0281
(585) 641-0286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082487
NY
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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