Individual
MS. AMY MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
315 E 62ND ST FL 5, NEW YORK, NY 10065-7767
(646) 962-2820
Mailing address
315 E 62ND ST FL 5, NEW YORK, NY 10065-7767
(646) 962-2820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113877
MA
Other
Enumeration date
03/26/2007
Last updated
02/27/2018
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