Individual
AMANDA MADORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 S MAIN AVE, APT. #2, ALBANY, NY 12208-2618
(518) 728-0958
Mailing address
12 S MAIN AVE, APT. #2, ALBANY, NY 12208-2618
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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