Individual
AMANDA MOIRA PENSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
99 TULIP AVE STE 402, FLORAL PARK, NY 11001-1974
(516) 695-2944
Mailing address
433 W PARK AVE, LONG BEACH, NY 11561-3119
(516) 695-2944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087082
NY
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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