Individual
ALEXIS MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
867 MAIN ST # 3C-3, MANCHESTER, CT 06040-6034
(860) 856-1763
Mailing address
867 MAIN ST # 3C-3, MANCHESTER, CT 06040-6034
(860) 856-1763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58.011080
CT
Other
Enumeration date
08/11/2020
Last updated
12/27/2023
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