Individual
ALEX WALKLEY DEDICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 ALEXANDER ST, ROCHESTER, NY 14607-4000
(585) 922-7770
Mailing address
224 ALEXANDER ST, ROCHESTER, NY 14607-4000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002198-1
NY
225A00000X
Music Therapist
002198-1
NY
Other
Enumeration date
09/13/2018
Last updated
04/25/2020
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