Individual
AMANDA SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 CENTURY DR, DIAKON FLS, MECHANICSBURG, PA 17055-4374
(717) 795-0330
Mailing address
940 CENTURY DR, MECHANICSBURG, PA 17055-4376
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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