Individual
AMANDA KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 1ST AVE, CHARLESTOWN, MA 02129-3109
(781) 439-5849
Mailing address
300 1ST AVE, CHARLESTOWN, MA 02129-3109
(781) 439-5849
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
229916
MA
1041C0700X
Clinical Social Worker
Primary
1142763
MA
Other
Enumeration date
01/15/2024
Last updated
02/04/2026
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