Individual
MRS. ALECTRA DANDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(516) 717-9394
Mailing address
9721 221ST ST, QUEENS VILLAGE, NY 11429-1353
(516) 717-9394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100559-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-1780244
OTHER
NY
Enumeration date
07/13/2017
Last updated
07/13/2017
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