Individual
AMANDA LIZ COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5021 CEDAR AVE, PHILADELPHIA, PA 19143-1620
(719) 510-1207
Mailing address
5028 CEDAR AVE, PHILADELPHIA, PA 19143-1653
(719) 510-1207
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW022458
PA
Other
Enumeration date
01/19/2022
Last updated
12/02/2025
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