Individual
AMANDA E WESTFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
136 JERSEY AVE, PORT JERVIS, NY 12771-2611
(845) 239-2084
Mailing address
PO BOX 792, WHITE PLAINS, NY 10602-0792
(845) 239-2084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
PRIVATE INSURANCE
—
Enumeration date
03/13/2019
Last updated
03/13/2019
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