Individual
AMY WEST MADENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
823 W JERICHO TPKE, SUITE 1C, SMITHTOWN, NY 11787-3216
(631) 864-1477
(631) 543-0654
Mailing address
214 NORWOOD AVE, NORTHPORT, NY 11768-1959
(516) 446-0532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
065666-1
NY
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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