Individual
AMANDA TONKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
701 LOYOLA AVE STE 201, NEW ORLEANS, LA 70113-1912
(504) 503-0872
Mailing address
2525 N DERBIGNY ST, NEW ORLEANS, LA 70117-7722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12870
LA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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