Individual
ALEXANDRA JORDAN NIEZGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 MASSACHUSETTS AVE # 4-1, CAMBRIDGE, MA 02139-3067
(617) 996-8821
Mailing address
3 ARLINGTON ST APT 1, CAMBRIDGE, MA 02140-2728
(262) 490-7015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
225600000X
Dance Therapist
—
MA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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