Individual
ALEXIS MARIE SA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
965 CHURCH ST, NEW BEDFORD, MA 02745-1400
(508) 996-3154
Mailing address
1044 RHONDA DR, NEW BEDFORD, MA 02745-3432
(774) 770-5745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
230187
MA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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