Individual
AMANDA DESOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 DEERHAVEN DR, NASHUA, NH 03064-1123
(978) 204-1288
Mailing address
42 DEERHAVEN DR, NASHUA, NH 03064-1123
(978) 204-1288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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