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1245716562
AMANDA WALTS
ITHACA, NY
NPI
1245716562
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Other Name
MANDY WALTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 082080-1)
Enumeration Date
2018-07-19
Last Update Date
2019-01-16
Business Address
Ms. AMANDA WALTS LCSW
233 S ALBANY ST
ITHACA, NY 14850-5403
Phone number: 607-256-2030
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Mailing Address
Ms. AMANDA WALTS LCSW
233 S ALBANY ST
ITHACA, NY 14850-5403
Phone number: 607-256-2030
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