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Individual

AMANDA MARIE KLATCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
6729 MYRTLE AVE, GLENDALE, NY 11385-7063
(718) 456-7001
Mailing address
6433 79TH ST, MIDDLE VILLAGE, NY 11379-2307
(646) 275-6640

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099402
NY

Other

Enumeration date
02/06/2018
Last updated
02/06/2018
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