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Individual
MISS AMANDA JEWELL PRINA
Active
Individual
MISS AMANDA JEWELL PRINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6845-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184029464
GROUP NPI
—
Enumeration date
01/13/2012
Last updated
07/21/2022
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