Individual
MRS. AMANDA CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
63 3RD ST, MANSFIELD, PA 16933-1262
(570) 662-7600
Mailing address
PO BOX 18, MIDDLEBURY CENTER, PA 16935-0018
(570) 662-7600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW130916
PA
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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