Individual
ALEXA ICENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1082 DAVOL ST, FALL RIVER, MA 02720-1108
(508) 678-2833
Mailing address
1082 DAVOL ST, FALL RIVER, MA 02720-1108
(508) 678-2833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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