Individual
ALEXANDRIA THEORDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CBIS
Contact information
Practice address
37 BOSTON POST RD, EAST BRUNSWICK, NJ 08816-2610
(908) 379-8110
Mailing address
37 BOSTON POST RD, EAST BRUNSWICK, NJ 08816-2610
(908) 379-8110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05799200
NJ
Other
Enumeration date
01/20/2020
Last updated
11/09/2020
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