Individual
AMANDA TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
11 DAVIS ROAD, VALLEY FORGE, PA 19481-0381
(484) 364-1512
Mailing address
PO BOX 381, VALLEY FORGE, PA 19481-0381
(484) 364-1512
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134148
PA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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