Individual
AMBER PITTMANN VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
274 BOSTON AVE APT 1, MEDFORD, MA 02155-5218
(787) 365-6565
Mailing address
274 BOSTON AVE APT 1, MEDFORD, MA 02155-5218
(787) 365-6565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
228716
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228716
ASWB-LCSW
MA
Enumeration date
12/29/2022
Last updated
12/29/2022
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