Individual
MRS. AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSS, LCSW, CAADC
Contact information
Practice address
401 PILGRIM LN, SUITE 103, DREXEL HILL, PA 19026-5000
(484) 476-6543
(484) 450-0090
Mailing address
401 PILGRIM LN, SUITE 103, DREXEL HILL, PA 19026-5000
(484) 476-6543
(484) 450-0090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017861
PA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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