Individual
MRS. AMANDA M COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2520 E CENTER ST, WATERFORD, PA 16441-8502
(814) 873-4422
Mailing address
2520 E CENTER ST, WATERFORD, PA 16441-8502
(814) 873-4422
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129419
PA
Other
Enumeration date
11/17/2012
Last updated
11/17/2012
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