Individual
MS. ALEXA T VENTRESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
23 ISAAC ST, MIDDLEBORO, MA 02346-2080
(508) 930-1714
Mailing address
23 ISAAC ST, MIDDLEBORO, MA 02346-2080
(508) 930-1714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125677
MA
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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