Whalio Doctors

NPI 1124478706

Amanda Mansour, LCSW

Practitioner Clinical Social Worker Apo, AP

Practice location

Address
51 Mdg Unit 2060, Apo, AP 96278
Phone
(315) 784-8717
Mailing address
31 Medical Group Unit 6180, Apo, AE 09604

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 59751 (TX)
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 59751 (TX)

Registry record

NPI
1124478706
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Jun 2016
Record last updated
9 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.