Amanda Kern
Social Worker in Patchogue, NY. Individual provider (NPI-1).
NPI number1346837366
StatusActive
Last updated in NPPESDec 23, 2020
Details
- NPI
- 1346837366
- Entity type
- Individual (NPI-1)
- Name
- Amanda Kern
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2020
- Certification date
- Dec 23, 2020
- Last updated
- Dec 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 111318 | NY | Yes |
Practice location
456 Waverly AvePatchogue, NY 11772-1586
Phone 631-447-6460 · Fax 631-289-7098
Mailing address
456 Waverly AvePatchogue, NY 11772-1586
Phone 631-447-6460 · Fax 631-289-7098
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All 37 Social Worker providers in Patchogue · All 1,282 providers in Patchogue
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