Individual
MISS AMANDA S RICCITELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2960 POST RD FL 3, SOUTHPORT, CT 06890-1268
(203) 307-3030
Mailing address
2960 POST RD, SOUTHPORT, CT 06890-1268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12570
CT
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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