Individual
AMANDA ROUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 ADAM CLAYTON POWELL JR. BLVD, NEW YORK, NY 10027-9853
(646) 901-8751
Mailing address
590 AVENUE OF THE AMERICAS, NEW YORK, NY 10011-9904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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