Individual
AMANDA KAIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 SHAKESPEARE AVE, BRONX, NY 10452-1851
(718) 732-7080
Mailing address
16 W 125TH ST, NEW YORK, NY 10027-4504
(216) 526-5077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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