Individual
LAURA AMANDA MAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 LEXINGTON AVE, ALTOONA, PA 16601-4628
(814) 940-6065
Mailing address
413 WASHINGTON ST APT 3, LILLY, PA 15938-1162
(814) 656-1536
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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