Individual
AMANDA KATHERINE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 RODNEY PL, AMITYVILLE, NY 11701-2613
(631) 355-6935
Mailing address
14 RODNEY PL, AMITYVILLE, NY 11701-2613
(631) 355-6935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
086009
NY
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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