Individual
AMANDA ELIZABETH GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
138 W 25TH ST STE 802, NEW YORK, NY 10001-7405
(646) 342-4981
Mailing address
26 CARMINE ST APT 1A, NEW YORK, NY 10014-4521
(646) 526-7922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
72073277
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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