Individual
AMANDA PAT FULEIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 W FAYETTE ST OFC 316, SYRACUSE, NY 13202-1275
(315) 395-5913
Mailing address
106 WENDELL TER, SYRACUSE, NY 13203-1319
(315) 395-5913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087012
NY
Other
Enumeration date
02/26/2016
Last updated
10/05/2020
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