Individual
MRS. AMANDA CHRISTINE FULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
531 FARBER LAKES DR, WILLIAMSVILLE, NY 14221
(716) 632-5450
Mailing address
531 FARBER LAKES DR, WILLIAMSVILLE, NY 14221-5773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
095803
NY
Other
Enumeration date
06/17/2016
Last updated
08/15/2018
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