Individual
ALEXIS SANTAVICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 613-0669
(914) 664-8189
Mailing address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 613-0669
(914) 664-8189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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