Individual
AMANDA SANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
268 BROADWAY STE 101, SARATOGA SPRINGS, NY 12866-4256
(888) 454-3827
Mailing address
173 GOODMAN RD, FORT ANN, NY 12827-5315
(518) 321-4563
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
102061
NY
1041C0700X
Clinical Social Worker
Primary
092771
NY
Other
Enumeration date
01/06/2020
Last updated
05/30/2024
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