Individual
AMANDA KNOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W
Contact information
Practice address
683 MARY STREET, UTICA, NY 13501
(315) 272-2600
Mailing address
112 LONGVIEW EAST, OLD FORGE, NY 13420-0404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087725-1
NY
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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