Individual
MRS. AMANDA LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 4, BOSTON, MA 02115-5724
(770) 722-0357
Mailing address
44 W NEWTON ST, APT 2, BOSTON, MA 02118-3813
(770) 722-0357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
221156
MA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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