Amanda Destefano Fenton, LICSW, MSW
NPI #1114241627 in Arlington, Massachusetts
Provider Information
- NPI Number
- 1114241627
- Entity Type
- Individual
- Name
- Amanda Destefano Fenton, LICSW, MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW, MSW
- Enumeration Date
- Mar 26, 2010
- Last Updated
- Nov 5, 2012
Practice Location
- Address
- 366 MASSACHUSETTS AVE
- Address 2
- SUITE 303
- City
- Arlington
- State
- Massachusetts
- ZIP Code
- 02474-6733
- Phone
- (617) 680-5724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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