Individual
ALEXIS KIMBERLY FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 MAPLE AVE, WEST DEPTFORD, NJ 08086-2179
(856) 419-6286
Mailing address
68 MAPLE AVE, WEST DEPTFORD, NJ 08086-2179
(856) 419-6286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06139800
NJ
Other
Enumeration date
11/28/2022
Last updated
02/22/2023
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