Individual
MRS. AMANDA LYNNE D'ULISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
603 MCKNIGHT PARK DRIVE, PITTSBURGH, PA 15237
Mailing address
152 RICHARD DRIVE, GLENSHAW, PA 15116
(330) 261-2100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106807
IA
1041C0700X
Clinical Social Worker
Primary
CW020370
PA
1041C0700X
Clinical Social Worker
I.2002370
OH
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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