Amanda Rose Kettle, LMSW

NPI #1134735921 in South Ozone Park, New York

Provider Information

NPI Number: 1134735921
Entity Type: Individual
Name: Amanda Rose Kettle, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Sep 17, 2020
Last Updated: Sep 17, 2020

Practice Location

Address: 10819 ROCKAWAY BLVD
City: South Ozone Park
State: New York
ZIP Code: 11420-1034
Phone: (718) 845-2620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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