Individual
AMY MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
234 S BRYN MAWR AVE STE 202, BRYN MAWR, PA 19010-2133
(267) 250-4628
Mailing address
1024 E LANCASTER AVE FL 1, BRYN MAWR, PA 19010-1409
(267) 203-4175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014731
PA
Other
Enumeration date
05/04/2012
Last updated
09/30/2025
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