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Contact Information

AMANDA MANSOUR, LCSW
51 MDG
UNIT 2060
APO, AP96278
 Phone: 315-784-8717
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for AMANDA MANSOUR · (Female)

NPI # 1124478706
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/15/2016
Last updated 08/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 59751
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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