Individual
AMANDA MARIE ABBOTT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 WILLIAM ST, LYONS, NY 14489-1119
(585) 363-0933
Mailing address
3105 PILGRIMPORT RD, LYONS, NY 14489-9331
(315) 216-2535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104744-1
NY
1041C0700X
Clinical Social Worker
Primary
098179-01
NY
Other
Enumeration date
01/14/2019
Last updated
03/05/2026
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