Individual
MRS. ALEXA BRIANA GAVRILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 YORKSHIRE WAY, HATBORO, PA 19040-2112
(267) 397-6226
Mailing address
140 YORKSHIRE WAY, HATBORO, PA 19040-2112
(267) 397-6226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023663
PA
Other
Enumeration date
11/01/2021
Last updated
06/27/2023
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