Individual
AMANDA MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 GRANDVIEW ROAD, OIL CITY, PA 16301-2077
(814) 676-5614
(814) 677-5760
Mailing address
815 GRANDVIEW ROAD, OIL CITY, PA 16301-2077
(814) 676-5614
(814) 677-5760
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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