Individual
MISS AMANDA MARIE OUTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10120 124TH ST, SOUTH RICHMOND HILL, NY 11419-2102
(917) 751-7661
Mailing address
10120 124TH ST, SOUTH RICHMOND HILL, NY 11419-2102
(917) 751-7661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
093828
NY
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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