Individual
AMANDA CENZINA ANTENUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8414 SW BARBUR BLVD STE 203, PORTLAND, OR 97219-4018
(503) 893-5628
Mailing address
8414 SW BARBUR BLVD STE 203, PORTLAND, OR 97219-4018
(503) 893-5628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
61405194
WA
1041C0700X
Clinical Social Worker
Primary
L6444
OR
Other
Enumeration date
11/01/2006
Last updated
02/24/2025
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