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Individual
MISS AMANDA JILL CLONINGER
Active
Individual
MISS AMANDA JILL CLONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089439
NY
1041C0700X
Clinical Social Worker
Primary
0904013168
VA
1041C0700X
Clinical Social Worker
27742
MD
Other
Enumeration date
09/07/2016
Last updated
03/22/2024
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