Individual
ALEXANDRA JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5917 VIA VERMILYA APT 404, LANTANA, FL 33462-2440
(914) 584-5328
Mailing address
5917 VIA VERMILYA APT 404, LANTANA, FL 33462-2440
(914) 584-5328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW17357
FL
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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