Individual
AMANDA EGGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21 WILLOW POND WAY STE 103, PENFIELD, NY 14526-2687
(585) 385-6030
Mailing address
1240 WASHINGTON ST # A, SPENCERPORT, NY 14559-9722
(315) 297-9915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107967-01
NY
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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