Most Relevant Information
Provider Data
| NPI Number: | 1003661265 |
| Provider Name: | AMANDA MICELI MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: | PPS-0608501 |
Most Important Dates
| Enumeration Date: | 04/22/2024 |
| Last Updated: | 06/03/2024 |
Provider Practice Location
301 N 9TH ST
RICHMOND
VA
232191933
Practice Location Phone/Fax
| Phone: | 8043663820 |
| Fax: |
Provider Mailing Location
301 N 9TH ST
RICHMOND
VA
232191933
Provider Mailing Phone/Fax
| Phone: | 8043663820 |
| Fax: |