Individual
AMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 LINE ST, ARCHBALD, PA 18403-1918
(570) 876-9200
Mailing address
588 ARNOLD DR, JEFFERSON TWP, PA 18436-3255
(570) 689-5401
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SW123077
PA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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