Individual
AMBER MARIE PORTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 NEW CASTLE RD, BUTLER, PA 16001-2418
(800) 362-8262
Mailing address
318 SAMUEL DR, CRANBERRY TOWNSHIP, PA 16066-3226
(724) 456-4453
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CW019352
PA
1041C0700X
Clinical Social Worker
Primary
CW019352
PA
Other
Enumeration date
06/25/2017
Last updated
06/25/2017
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