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1043618218
AMANDA SMITH
SMITHTOWN, NY
NPI
1043618218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 6366)
Enumeration Date
2014-12-19
Last Update Date
2017-01-16
Business Address
-- AMANDA SMITH
496 SMITHTOWN BYP SUITE 304
SMITHTOWN, NY 11787-5005
Phone number: 631-877-6777
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Mailing Address
-- AMANDA SMITH
680 N INDIANA AVE
LINDENHURST, NY 11757-2910
Phone number: 631-877-6777
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