Individual
SHOSHANNA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
445 OAK ST, COPIAGUE, NY 11726-3111
(631) 257-5173
Mailing address
18 LAFAYETTE AVE, MASTIC, NY 11950-2806
(631) 833-4038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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