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Individual

MRS. AMANDA J WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
14 HARWOOD CT, SCARSDALE, NY 10583-4121
(914) 214-9215
Mailing address
14 HARWOOD CT STE 415, SCARSDALE, NY 10583-4120
(914) 214-9215

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37633
NY
104100000X
Social Worker
113012
NY
1041C0700X
Clinical Social Worker
Primary
099200
NY

Other

Enumeration date
01/15/2025
Last updated
02/18/2026
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