Individual
AMANDA BLOMBERG-FAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5597
(617) 864-7600
Mailing address
1046 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1407
(617) 864-7600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
12/06/2023
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