Individual
MRS. AMY L SLENKER
Active
Individual
MRS. AMY L SLENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW130647
PA
1041C0700X
Clinical Social Worker
Primary
CW019280
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
547178
MEDICARE PTAN
PA
Enumeration date
07/09/2014
Last updated
07/28/2017
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