Individual
MISS ALEXIS GABRIELLE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(347) 510-3622
Mailing address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(347) 510-3622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
107191
NY
1041C0700X
Clinical Social Worker
Primary
096015
NY
Other
Enumeration date
06/28/2019
Last updated
09/08/2023
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