Individual
MS. AMANDA J OLAVIANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 830-7034
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 830-7034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129623
PA
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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