Individual
AMY DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 5TH AVE, NEW YORK, NY 10029-3119
(212) 426-3400
Mailing address
64 CANTERBURY CT, TEANECK, NJ 07666-5604
(917) 202-7608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075933-1
NY
Other
Enumeration date
04/13/2009
Last updated
02/10/2012
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