Individual
MS. AMANDA CACCAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
70 MAINE AVENUE UNIT 14, ROCKVILLE CENTRE, NY 11570
(516) 849-2524
Mailing address
70 MAINE AVENUE UNIT 14, ROCKVILLE CENTRE, NY 11570
(516) 849-2524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R022353-1
NY
Other
Enumeration date
06/20/2007
Last updated
03/20/2008
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