Individual
MS. AMANDA INEZ SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 6TH AVE, NEW YORK, NY 10011-2022
(917) 485-7600
Mailing address
397 ANGELO DR, MONTGOMERY, NY 12549-1627
(845) 857-3280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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