Individual
AMANDA MARIE VILLALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 OLD KINGS HWY N STE 1A, DARIEN, CT 06820-4732
(203) 253-7249
Mailing address
85 OLD KINGS HWY N STE 1A, DARIEN, CT 06820-4732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
CT
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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