Individual
AMORA R MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
860 MELROSE AVE # 2L, BRONX, NY 10451-4443
(917) 473-6996
Mailing address
1 MEADOWLANDS PKWY STE 408, SECAUCUS, NJ 07094-2901
(917) 583-2394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
110118
NY
1041C0700X
Clinical Social Worker
Primary
110118
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110118
—
NY
Enumeration date
10/22/2020
Last updated
10/22/2020
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