Individual
ALEXANDRA MANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10044 222ND ST, QUEENS VILLAGE, NY 11429-1677
(516) 770-1143
Mailing address
10044 222ND ST, QUEENS VILLAGE, NY 11429-1677
(516) 770-1143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
124336
NY
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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