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Individual

AMANDA OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
4 MANN ST, WORCESTER, MA 01602-3414
(508) 755-0333
Mailing address
51 UNION ST, STE G02, WORCESTER, MA 01608-1138
(508) 755-0333

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904013872
VA
1041C0700X
Clinical Social Worker
Primary
121188
MA
1041C0700X
Clinical Social Worker
LC20932
ME

Other

Enumeration date
04/20/2018
Last updated
04/26/2022
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