Individual
MISS AMY ELIZABETH KAFRISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 552-6000
(570) 552-6021
Mailing address
84 JAMES ST, KINGSTON, PA 18704-4730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126269
PA
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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