Individual
AMANDA ZUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
1105 GALE ST SW, ALBANY, OR 97321-1862
(917) 626-6147
Mailing address
1105 GALE ST SW, ALBANY, OR 97321-1862
(917) 626-6147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14-139
NY
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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