Individual
ALEXANDRA TAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2223 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-1437
(510) 317-1444
Mailing address
2614 12TH ST APT 2F, ASTORIA, NY 11102-3724
(201) 686-4002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
085746
NY
Other
Enumeration date
10/09/2012
Last updated
07/26/2017
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