Female

Amanda C. Wisniewski LMSW

Social Worker in Baltimore, MD(View on Map)

Full Name

Amanda Catherine Wisniewski LMSW

NPI Number

1205357712

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/06/2017

Specialties

(Taxonomies)

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

26490

Contact
Information

Purpose

Mailing
Location

Address

421 FALLSWAY
421 FALLSWAY

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21202-4800
21202-4800

Country

US
US

Telephone Number

(410) 703-1108
(410) 703-1108

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/04/2021

Provider Address

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