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Individual

ALEXSANDRA OGURTSOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
U

Contact information

Practice address
98 HEMPSTEAD AVE, STATEN ISLAND, NY 10306-6073
(347) 534-5340
Mailing address
13 E WINANT AVE, RIDGEFIELD PARK, NJ 07660-2015

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/08/2025
Last updated
02/08/2025
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