Individual
ALEXANDRIA MARIE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4109 SUNRISE HWY, BOHEMIA, NY 11716-4600
(631) 503-1539
Mailing address
248 BAY AVE, PATCHOGUE, NY 11772-4019
(631) 432-9706
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103621
NY
1041C0700X
Clinical Social Worker
Primary
094991
NY
Other
Enumeration date
04/11/2019
Last updated
03/29/2023
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