Individual
AMANDA GERACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2305 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2515
(267) 282-1140
Mailing address
5006 CEDAR AVE, PHILADELPHIA, PA 19143-1653
(973) 951-2299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018738
PA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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