Individual
MS. AMANDA BERRY LEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1153 CENTRE ST, FAULKNER HOSPITAL OUTPATIENT MENTAL HEALTH CLINIC, JAMAICA PLAIN, MA 02130-3446
(617) 983-7873
Mailing address
1153 CENTRE ST, FAULKNER HOSPITAL OUTPATIENT MENTAL HEALTH CLINIC, JAMAICA PLAIN, MA 02130-3446
(617) 983-7873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111755
MA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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