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Individual

ALEXANDRIA ELISSA SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
171 RIDGEDALE AVE STE J, FLORHAM PARK, NJ 07932-1764
(973) 515-1216
(973) 515-3108
Mailing address
171 RIDGEDALE AVE STE J, FLORHAM PARK, NJ 07932-1764
(973) 515-1216
(973) 515-3108

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00912600
NJ

Other

Enumeration date
02/04/2020
Last updated
10/17/2025
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