Individual
MRS. AMANDA GRACE SCOTT HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
530 OAK ST, SUITE 204, SYRACUSE, NY 13203-1652
(315) 882-1958
(315) 295-2526
Mailing address
530 OAK ST, SUITE 204, SYRACUSE, NY 13203-1652
(315) 882-1958
(315) 295-2526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R076173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02249154
—
NY
Enumeration date
11/21/2006
Last updated
05/02/2013
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