Individual
AMANDA CHRISTINE VILASECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 NASSAU RD APT 4, YONKERS, NY 10710-1641
(646) 651-3717
Mailing address
150 W 225TH ST APT 6D, BRONX, NY 10463-5040
(646) 651-3717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
099522
NY
1041C0700X
Clinical Social Worker
Primary
090807
NY
Other
Enumeration date
01/23/2017
Last updated
07/13/2021
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