Individual
AMANDA ANNE LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 7TH ST, VANDLING, PA 18421-1738
(570) 285-7709
Mailing address
303 7TH ST, VANDLING, PA 18421-1738
(570) 285-7709
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
PA
103K00000X
Behavior Analyst
—
PA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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