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Individual

MRS. ALEXANDRA STANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
344 FULTON AVE, HEMPSTEAD, NY 11550
(516) 538-2613
Mailing address
62 FRANKLIN ST, PATCHOGUE, NY 11772-2769
(631) 220-8294

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
090485
NY
1041C0700X
Clinical Social Worker
Primary
086525
NY

Other

Enumeration date
11/09/2013
Last updated
04/16/2019
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