Individual
AMANDA VANDIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, PHD
Contact information
Practice address
9199 REISTERSTOWN RD STE 202B, OWINGS MILLS, MD 21117-4579
(443) 660-8018
Mailing address
9199 REISTERSTOWN RD STE 202B, OWINGS MILLS, MD 21117-4579
(443) 660-8018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29958
MD
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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