Individual
AMANDA PRIVITERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 8TH ST STE 5, WEST DES MOINES, IA 50265-2649
(515) 421-4185
Mailing address
1308 8TH ST STE 5, WEST DES MOINES, IA 50265-2649
(515) 421-4185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1000663
IA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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