Individual
MS. ALEXA RUTH BRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102-45 67TH ROAD, APT. 1T, FOREST HILLS, NY 11375-2628
(212) 439-1158
Mailing address
10420 QUEENS BLVD, APT. L5C, FOREST HILLS, NY 11375-3629
(212) 439-1158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0309431
NY
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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