Individual
AMANDA VALLTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
225 TOWN SQUARE DR STE 3, LUSBY, MD 20657-6535
(410) 231-0488
Mailing address
225 TOWN SQUARE DR STE 3, LUSBY, MD 20657-6535
(410) 231-0488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22953
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22953
SOCIAL WORK LICENSE
MD
Enumeration date
01/28/2019
Last updated
01/28/2019
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