MRS. Amanda M Groff, TSSLD

NPI #1154668572 in Walton, New York

Provider Information

NPI Number: 1154668572
Entity Type: Individual
Name: MRS. Amanda M Groff, TSSLD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: TSSLD
Enumeration Date: Jan 4, 2013
Last Updated: Jan 4, 2013

Practice Location

Address: 4479 FREER HOLLOW RD
City: Walton
State: New York
ZIP Code: 13856-4568
Phone: (607) 435-3129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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