Individual
AMANDA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
528 OAK ST, SYRACUSE, NY 13203-1643
(315) 868-4810
Mailing address
528 OAK ST, SYRACUSE, NY 13203-1643
(315) 868-4810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0746851
NY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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