Individual
AMI DAICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 FALL DR, ETNA, NY 13062-7714
(908) 432-1049
Mailing address
PO BOX 296, ETNA, NY 13062-0296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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