Individual
AMANDA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 W 12TH ST APT 3N, NEW YORK, NY 10011-8103
(917) 279-9161
Mailing address
315 A ST UNIT 1406, BOSTON, MA 02210-1657
(917) 279-9161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090319
NY
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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