Individual
ALEXANDRA STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1841 BROADWAY, 4TH FLOOR, NEW YORK, NY 10023
(212) 333-3444
(212) 333-5444
Mailing address
1841 BROADWAY, 4TH FLOOR, NEW YORK, NY 10023
(212) 333-3444
(212) 333-5444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096057
NY
1041C0700X
Clinical Social Worker
21405
MD
Other
Enumeration date
11/09/2015
Last updated
06/14/2018
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