Individual
ALEXANDRA LEA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 469-8500
Mailing address
14 MURDOCK ST APT 2-2, SOMERVILLE, MA 02145-3519
(585) 732-1005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000225094
MA
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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