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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA FAYE BRUYNINCKX, LMSW

Active

AMANDA FAYE BRUYNINCKX, LMSW is a Social Worker healthcare provider located in OTIS, Louisiana. NPI 1164256962 is currently active in the NPPES registry. Verify at CMS.

Social Worker · OTIS, LA

Registration Details

NPI Number
1164256962
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2024 (1.9618315591462 yrs)
Last Updated
Aug 28, 2024
License
16819 (LA)

Practice Information

Address
53 POWELL RD
OTIS, LA, 714669758
Browse LA providers · Browse ZIP 71466
Phone
3187535069
Primary Specialty
Social Worker
104100000X
Additional Specialty
Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.