Individual
AMANDA GANZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
330 ORCHARD ST STE 107, NEW HAVEN, CT 06511-4430
(032) 200-4362
(203) 200-1362
Mailing address
330 ORCHARD ST STE 107, NEW HAVEN, CT 06511-4430
(203) 200-4362
(203) 200-1362
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
157
CT
170300000X
Genetic Counselor (M.S.)
GC000151
PA
Other
Enumeration date
12/22/2014
Last updated
01/08/2021
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