Amanda Grace Connelly

NPI #1013170885 in Winston Salem, North Carolina

Provider Information

NPI Number: 1013170885
Entity Type: Individual
Name: Amanda Grace Connelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 2, 2008
Last Updated: Dec 1, 2017

Practice Location

Address: 4140 CHERRY ST
City: Winston Salem
State: North Carolina
ZIP Code: 27105-2536
Phone: (336) 306-9620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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