Individual
MS. AMANDA DANIELLE KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
268 N BROADWAY, HICKSVILLE, NY 11801-2923
(619) 866-9535
Mailing address
268 N BROADWAY, HICKSVILLE, NY 11801-2923
(610) 866-9535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P07629
NY
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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