Individual
MS. AMANDA VERONICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
970 WILLIAMS AVE, APT 3D, BROOKLYN, NY 11207-8262
(347) 742-3609
Mailing address
970 WILLIAMS AVE, APT 3D, BROOKLYN, NY 11207-8262
(347) 742-3609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
72-083915
NY
1041C0700X
Clinical Social Worker
Primary
73-082612
NY
Other
Enumeration date
07/17/2012
Last updated
12/01/2014
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