Individual
MS. AMANDA KATHRYN LEIBENHAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
197 E BROADWAY, U3B, NEW YORK, NY 10002-5507
(212) 780-2300
(212) 529-0961
Mailing address
197 E BROADWAY, U3B, NEW YORK, NY 10002-5507
(212) 780-2300
(212) 529-0961
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
082064-1
NY
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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