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NPI Code Detail

MEDICARE: ALEXANDRA DILLON LCSW

MEDICARE: ALEXANDRA DILLON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC05785200NJ

General Provider Information

NPI Number : 1962991216
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA DILLON LCSW
Provider Business Mailing Address
First Line : 705 BIRCHFIELD DR
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-4013
Country : US
Telephone Number : 609-534-2007
Fax Number :
Provider Business Practice Location Address
First Line : 705 BIRCHFIELD DR
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-4013
Country : US
Telephone Number : 609-534-2007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2018
Last Update Date : 01/21/2026

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Directions to “ ALEXANDRA DILLON LCSW” Practice Location

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