Individual
AMANDA R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 HDSN VLY PROF PLZ, NEWBURGH, NY 12550-3150
(845) 595-4775
Mailing address
139 OLD MINISINK TRL, GOSHEN, NY 10924-6922
(845) 283-0690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089638
NY
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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