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Individual

MRS. AMANDA LEE LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1099 NORTHSIDE SHOPPING CTR, ONEIDA, NY 13421-4901
(315) 363-2451
Mailing address
1099 NORTHSIDE SHOPPING CTR, ONEIDA, NY 13421-4901

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094303-1
NY

Other

Enumeration date
01/28/2016
Last updated
01/28/2016
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