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1245796580
AMANDA STUDENT
LATHAM, NY
NPI
1245796580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 085834)
Enumeration Date
2019-02-12
Last Update Date
2020-12-04
Business Address
Dr. AMANDA STUDENT LCSW, DSW
2 WOODLAWN RD
LATHAM, NY 12110-4223
Phone number: 914-774-6919
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Mailing Address
Dr. AMANDA STUDENT LCSW, DSW
2 WOODLAWN RD
LATHAM, NY 12110-4223
Phone number: 914-774-6919
Copy
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