Individual
AMY L MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3720
Mailing address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW007440L
PA
Other
Enumeration date
09/02/2005
Last updated
07/08/2007
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