Most Relevant Information
Provider Data
| NPI Number: | 1003346842 |
| Provider Name: | AMANDA WANAT LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 8769 |
Most Important Dates
| Enumeration Date: | 06/14/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1177 SILAS DEANE HWY
WETHERSFIELD
CT
061094348
Practice Location Phone/Fax
| Phone: | 8608370401 |
| Fax: |
Provider Mailing Location
1177 SILAS DEANE HWY
WETHERSFIELD
CT
061094348
Provider Mailing Phone/Fax
| Phone: | 8608370401 |
| Fax: |