Individual
AMANDA WILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CHC, CLC
Contact information
Practice address
PO BOX 22, SPRING BROOK, NY 14140-0022
(716) 281-3838
Mailing address
PO BOX 22, SPRING BROOK, NY 14140-0022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
087357
NY
Other
Enumeration date
09/08/2011
Last updated
11/24/2025
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