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Individual

AMANDA LOEFFLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1537 ELMIRA ST, SAYRE, PA 18840-9254
(570) 888-6803
Mailing address
1019 E WATER ST, ELMIRA, NY 14901-3332

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
00087702
NY
1041C0700X
Clinical Social Worker
Primary
084087
NY

Other

Enumeration date
04/30/2012
Last updated
05/31/2022
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