Individual
ALEXANDRIA BONICELLI TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 GRACE AVE, TRENT WOODS, NC 28562
(252) 638-0185
Mailing address
2221 FOXHORN RD, TRENT WOODS, NC 28562-6607
(252) 474-7277
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016324
NC
Other
Enumeration date
06/30/2021
Last updated
03/17/2025
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