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Individual

AMANDA BANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2452 ROUTE 9, SUITE 206, MECHANICVILLE, NY 12118
(518) 292-5433
(518) 514-1383
Mailing address
1629 ONEIDA ST, SCHENECTADY, NY 12308-2110

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092986
NY
104100000X
Social Worker
911090151
NY

Other

Enumeration date
09/23/2016
Last updated
02/19/2020
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