Individual
AMANDA BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 WILLOUGHBY ST APT 48A, BROOKLYN, NY 11201-7381
(405) 412-9143
Mailing address
138 WILLOUGHBY ST APT 48A, BROOKLYN, NY 11201-7381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096907
NY
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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