Individual
AMANDA CATHERINE BARBOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Contact information
Practice address
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420-2824
(952) 541-2800
(952) 886-7015
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29658
MN
1041C0700X
Clinical Social Worker
6801095783
MI
Other
Enumeration date
09/16/2013
Last updated
12/09/2021
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