Amanda Marie Mack, LICSW
NPI #1912595752 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1912595752
- Entity Type
- Individual
- Name
- Amanda Marie Mack, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 7, 2021
- Last Updated
- Mar 10, 2023
Practice Location
- Address
- 1400 VFW PKWY
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-4927
- Phone
- (617) 390-4585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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