Individual
MS. AMANDA MAGALHAES DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1413 STONY BROOK RD, STONY BROOK, NY 11790-2214
(631) 444-4400
Mailing address
3 ARTHUR ST, SELDEN, NY 11784-2123
(631) 880-8942
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115969
NY
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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