Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003054222 |
---|---|
Provider Name | Jennifer Lynn Amaral |
First Address | New Bedford, MA 02740-6728 |
Second Address | New Bedford, MA 02740-6728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2009 |
Last Update Date | 26/01/2009 |