Individual
AMANDA ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 WESTMINSTER ST, PROVIDENCE, RI 02909-1805
(917) 617-4832
Mailing address
105 LANDIS DR, EAST GREENWICH, RI 02818-4509
(917) 617-4832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02398
RI
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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