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Individual

AMANDA WELTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
157 GREEN ST, JAMAICA PLAIN, MA 02130-2667
(617) 309-0137
Mailing address
289 WALK HILL ST UNIT 301, ROSLINDALE, MA 02131-3254
(719) 229-4870

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128246
MA

Other

Enumeration date
09/15/2020
Last updated
12/18/2024
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