Individual
MRS. AMANDA JEAN MCGANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3722 82ND ST, JACKSON HEIGHTS, NY 11372-7032
(718) 779-1600
(718) 396-6189
Mailing address
2228 126TH ST, FIRST FLOOR, COLLEGE POINT, NY 11356-2634
(347) 368-6799
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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