Individual
AMANDA-JEAN KATHY-LINDA ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 GLENLIVET DR, ALLENTOWN, PA 18106-3112
(484) 793-2689
Mailing address
1150 GLENLIVET DR, ALLENTOWN, PA 18106-3112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC017729
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC017729
STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL C
PA
Enumeration date
01/14/2025
Last updated
01/14/2025
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