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Individual

AMANDA MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1445 E PUTNAM AVE, OLD GREENWICH, CT 06870-1379
(800) 736-3739
Mailing address
66 BURROUGHS RD, FAIRFIELD, CT 06824-3503

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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