Individual
AMANDA BLADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 FRANKENFIELD RD, OTTSVILLE, PA 18942-9782
(617) 359-7201
Mailing address
PO BOX 575, OTTSVILLE, PA 18942-0575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-44992
ID
1041C0700X
Clinical Social Worker
LICSW-1193979
MA
Other
Enumeration date
09/26/2018
Last updated
01/27/2025
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