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Amanda Grace Connelly
Professional Counselor in Winston Salem, North Carolina
NPI 1013170885

Amanda Grace Connelly is a Professional Counselor based in Albemarle, NC and is specialized in Professional. Amanda Grace Connelly practices in Winston Salem, NC. The NPI Number for Amanda Grace Connelly is 1013170885 and holds a License No. 9785 (North Carolina).

The current practice location address for Amanda Grace Connelly is 4140 Cherry St, Winston Salem, NC and can be reached out via phone at 336-306-9620.

Location: 4140 Cherry St, Winston Salem, NC, 28001-4945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013170885
Provider Name
Amanda Grace Connelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
4140 Cherry St, Winston Salem, NC, 28001-4945
Phone Number
336-306-9620
Fax Number
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4140 Cherry St
City
Winston Salem
State
North Carolina
Zip
27105-2536
Phone Number
336-306-9620
Fax Number
person
Provider Business Mailing Address Details
Address
4140 Cherry St
City
Winston Salem
State
North Carolina
Zip
27105-2536
Phone Number
336-306-9620
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
9785 (North Carolina)
Definition
Definition to come...
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