Individual
AMY L MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5708 S BAY RD, CICERO, NY 13039-8652
(315) 897-5699
(315) 302-9599
Mailing address
5708 S BAY RD, CICERO, NY 13039-8652
(315) 897-5699
(315) 302-9599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090752
NY
1041C0700X
Clinical Social Worker
1843
NH
Other
Enumeration date
02/28/2014
Last updated
03/04/2026
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