Individual
AMANDA EJIMOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 GREENBAG RD, MORGANTOWN, WV 26508-1528
(724) 396-1510
(724) 972-4627
Mailing address
101 PEMBROKE CT, GREENSBURG, PA 15601-6404
(724) 396-1510
(724) 972-4627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW025917
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619550381
—
WV
Enumeration date
04/30/2021
Last updated
11/07/2025
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