Individual
MS. AMANDA LOREE BOWCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
430 MAIN ST STE 8, CENTER MORICHES, NY 11934-3521
(631) 747-0351
(631) 909-3558
Mailing address
430 MAIN ST STE 8, CENTER MORICHES, NY 11934-3521
(631) 747-0351
(631) 909-3558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001662
NY
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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