Individual
MS. AMANDA MARTIN-SQUILLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
480 OLD WESTBURY RD, ROSLYN HEIGHTS, NY 11577-2215
(516) 626-1971
Mailing address
480 OLD WESTBURY RD, ROSLYN HEIGHTS, NY 11577-2215
(516) 626-1971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
093763
NY
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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