Individual
MS. AMANDA AMODIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
1425 MADISON AVE, NEW YORK, NY 10029-6514
(212) 659-5564
Mailing address
1425 MADISON AVE, NEW YORK, NY 10029-6514
(212) 659-5564
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081147
NY
Other
Enumeration date
07/12/2010
Last updated
03/23/2022
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