Individual
AMANDA AMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 EDGEWOOD RD, SARANAC LAKE, NY 12983-1537
(518) 354-4157
Mailing address
1664 STATE ROUTE 30, TUPPER LAKE, NY 12986-2402
(518) 354-0540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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