Individual
AMANDA MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 BAYPORT CT, WANTAGH, NY 11793-4506
(516) 314-7802
Mailing address
3002 BAYPORT CT, WANTAGH, NY 11793-4506
(516) 314-7802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081901
NY
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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