Individual
ALEXA JOSEPHINE MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4120 114TH ST, CORONA, NY 11368-2642
(347) 216-2928
Mailing address
4120 114TH ST, CORONA, NY 11368-2642
(347) 216-2928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119701
NY
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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