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Individual

ALEXIS AP MUNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
142 STATE ST, NORTH HAVEN, CT 06473-2207
(603) 767-0655
Mailing address
171 MAGEE DR, HAMDEN, CT 06514-1339
(603) 767-0655

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008130
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008043665
CT
Enumeration date
02/07/2013
Last updated
02/20/2015
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