Individual
AMANDA VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 ODELL AVE, YONKERS, NY 10701-1242
(914) 255-1609
Mailing address
21 ODELL AVE, YONKERS, NY 10701-1242
(914) 255-1609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
085845-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
083829
NY
Other
Enumeration date
01/06/2012
Last updated
06/02/2023
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