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Individual

AMANDA LASKO GROSS KANTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
1 EMERSON PL STE 3H, BOSTON, MA 02114-2252
(617) 379-0496
Mailing address
1 EMERSON PL STE 3H, BOSTON, MA 02114-2252

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122750
MA
1041C0700X
Clinical Social Worker
C011743
NC

Other

Enumeration date
02/12/2020
Last updated
02/26/2024
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