Individual
AMANDA CLAIRE FIALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 W 26TH ST APT 14H, NEW YORK, NY 10010-1011
(914) 760-0562
Mailing address
161 W 16TH ST APT 9I, NEW YORK, NY 10011-6204
(914) 760-0562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
077657-1
NY
Other
Enumeration date
05/24/2007
Last updated
05/11/2011
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