Individual
ALEXANDRA PELLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 COOK ST, BRANDON, FL 33511-5216
(813) 480-8482
Mailing address
11615 N 50TH ST UNIT 204, TAMPA, FL 33617-2174
(954) 707-8832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW14774
FL
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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