Individual
AMANDA NICOLE REAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, MED
Contact information
Practice address
440 E GIRARD AVE, THRESHOLD WELLNESS, PHILADELPHIA, PA 19125-3326
(267) 994-7640
Mailing address
2310 E SUSQUEHANNA AVE, PHILADELPHIA, PA 19125-2524
(267) 994-7640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018658
PA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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