Individual
AMNEH TAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10001 CASTILE CT APT B, HENRICO, VA 23238-6067
(213) 640-0066
Mailing address
10001 CASTILE CT APT B, HENRICO, VA 23238-6067
(213) 640-0066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10682
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10682
SOCIAL WORK BOARD
PR
Enumeration date
09/25/2012
Last updated
09/25/2012
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