Individual
AMANDA CICARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2928 W 36TH ST, BROOKLYN, NY 11224-1410
(718) 372-3300
(718) 372-1314
Mailing address
2928 W 36TH ST, BROOKLYN, NY 11224-1410
(718) 372-3300
(718) 372-1314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
060491
NY
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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