Individual
MRS. AMY LYNN CANAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(814) 943-8164
Mailing address
510 ORCHARD ST, PORTAGE, PA 15946-1626
(814) 736-3437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127030
PA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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