Individual
AMANDA LEIGH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
5 SOUTHSIDE DRIVE, SUITE 11-131, CLIFTON PARK, NY 12065-2466
(518) 906-9116
Mailing address
5 SOUTHSIDE DRIVE, SUITE 11-131, CLIFTON PARK, NY 12065-2466
(518) 906-9116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082531
NY
Other
Enumeration date
03/26/2013
Last updated
12/09/2021
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