Individual
ALEXIS JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
333 E 149TH ST, BRONX, NY 10451-5601
(718) 993-5495
Mailing address
3555 BIVONA ST APT 13D, BRONX, NY 10475-1469
(646) 915-2270
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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