Individual
AMANDA R. PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 CORNELL ST, KINGSTON, NY 12401-3633
(845) 338-1234
Mailing address
139 CORNELL ST, KINGSTON, NY 12401-3633
(845) 338-1234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
01/20/2020
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