Individual
AMANDA ALEXIS KOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 709-3930
Mailing address
611 PENNSYLVANIA AVE SE # 415, WASHINGTON, DC 20003-4303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LG200001335
DC
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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