Individual
AMANDA MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
(607) 733-7661
Mailing address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130801-01
NY
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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