Individual
AMANDA MICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
301 N 9TH ST, RICHMOND, VA 23219-1933
(804) 366-3820
Mailing address
301 N 9TH ST, RICHMOND, VA 23219-1933
(804) 366-3820
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
PPS-0608501
VA
Other
Enumeration date
04/22/2024
Last updated
06/03/2024
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