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Individual

MRS. AMANDA ANDRADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TEACHER

Contact information

Practice address
40 WHIPPOORWILL RD, BETHEL, CT 06801-2723
(914) 325-5787
Mailing address
40 WHIPPOORWILL RD, BETHEL, CT 06801-2723

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
174400000X
SERVICE PROVIDER- SPECIAL EDUCATION TEACHER
NY
Enumeration date
01/03/2019
Last updated
01/03/2019
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