Individual
MS. AMANDA GRIER POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 BENEDICT PL, GREENWICH, CT 06830-5358
(917) 302-5455
Mailing address
4 LAFAYETTE CT APT 6D, GREENWICH, CT 06830-5304
(917) 302-5455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006084
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006084
LCSW
CT
Enumeration date
05/02/2009
Last updated
05/02/2009
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