Individual
MRS. ALEXANDRA MITNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 ARMANINO CT, OAKLAND, CA 94618-1315
(510) 978-4669
Mailing address
17 ARMANINO CT, OAKLAND, CA 94618-1315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
068510-1
NY
1041C0700X
Clinical Social Worker
Primary
LCS 24728
CA
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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