Individual
MRS. AMANDA THERESA BIANCANIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 HILLSIDE AVE, SAINT JAMES, NY 11780-3131
(631) 807-7911
Mailing address
100 HILLSIDE AVE, SAINT JAMES, NY 11780-3131
(631) 807-7913
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
72081231
NY
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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