Individual
MISS AMANDA JONES STANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 WAKE FOREST RD STE 100, RALEIGH, NC 27604-1354
(919) 324-0906
(984) 500-1860
Mailing address
2329 GLASCOCK ST, RALEIGH, NC 27610-1601
(252) 217-9335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010538
NC
Other
Enumeration date
07/05/2016
Last updated
11/01/2023
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