Individual
AMY LYNN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
796 W GENESEE STREET RD, SKANEATELES, NY 13152-9311
(315) 730-8846
Mailing address
796 W GENESEE STREET RD, SKANEATELES, NY 13152-9311
(315) 730-8846
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
084210-1
NY
Other
Enumeration date
04/20/2016
Last updated
01/30/2017
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