Individual
MS. AMANDA YAGGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17810 WEXFORD TER, JAMAICA, NY 11432-3050
(718) 658-1123
Mailing address
17810 WEXFORD TER, JAMAICA, NY 11432-3050
(718) 658-1123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
086426
NY
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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