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Individual

AMANDA EMELINE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, NCC

Contact information

Practice address
232 S 4TH ST STE 3M, PHILADELPHIA, PA 19106-3704
(215) 847-6749
Mailing address
232 S 4TH ST STE 3M, PHILADELPHIA, PA 19106-3704
(215) 847-6749

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC009877
PA

Other

Enumeration date
10/24/2017
Last updated
10/24/2017
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