Individual
AMANDA PETOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
26133 W FOREST GROVE AVE, BUCKEYE, AZ 85326-9221
(732) 581-3137
Mailing address
26133 W FOREST GROVE AVE, BUCKEYE, AZ 85326-9221
(732) 581-3137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-23181
AZ
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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