Amanda Raybould, LICSW

NPI #1093311359 in West Newton, Massachusetts

Provider Information

NPI Number: 1093311359
Entity Type: Individual
Name: Amanda Raybould, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Dec 10, 2020
Last Updated: Sep 21, 2022

Practice Location

Address: 1121 WASHINGTON ST STE 4
City: West Newton
State: Massachusetts
ZIP Code: 02465-2150
Phone: (617) 902-0345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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