Individual
ALEXANDRA MAMOLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2401 PENNSYLVANIA AVE STE 1C52, PHILADELPHIA, PA 19130-7723
(802) 780-0101
Mailing address
2483 INDEPENDENCE AVE, ROSLYN, PA 19001-3135
(215) 869-0921
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009640
PA
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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