Individual
AMANDA ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 PARK ST, NEW HAVEN, CT 06519-1110
(475) 227-6484
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(475) 227-6484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/04/2022
Last updated
07/09/2024
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