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Individual

MRS. AMI LYNN RIEGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
396 S. CENTRE STREET, 3RD FLOOR, POTTSVILLE, PA 17901
(570) 640-3744
Mailing address
15 HILLSIDE DRIVE, SCHUYLKILL HAVEN, PA 17972
(570) 640-3744

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013192L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10129699500
PA
Enumeration date
06/02/2006
Last updated
05/25/2016
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