Amanda Connelly

NPI #1104242098 in Setauket, New York

Provider Information

NPI Number: 1104242098
Entity Type: Individual
Name: Amanda Connelly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 15, 2014
Last Updated: Mar 15, 2014

Practice Location

Address: 13 THOMPSON HAY PATH
City: Setauket
State: New York
ZIP Code: 11733-1317
Phone: (631) 751-0197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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