Individual
ALICIA LOUISE MONGILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
749 MERCHANTS RD, ROCHESTER, NY 14609-5442
(585) 245-4783
Mailing address
749 MERCHANTS RD, ROCHESTER, NY 14609-5442
(585) 245-4783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
098873
NY
Other
Enumeration date
01/17/2019
Last updated
02/11/2025
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