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Individual

AMANDA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402
(203) 755-4490
Mailing address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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