Individual
AMANDA RAE LEBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
496 COMO AVE, WATERBURY, CT 06708-3660
(203) 519-1004
Mailing address
496 COMO AVE, WATERBURY, CT 06708-3660
(203) 519-1004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16116
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
02/19/2026
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