Individual
AMANDA KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
255 BERRY ST APT 3B, BROOKLYN, NY 11249-4176
(973) 222-9737
Mailing address
255 BERRY ST APT 3B, BROOKLYN, NY 11249-4176
(973) 222-9737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087080
NY
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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