Individual
AMANDA L. LATSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1255 PERKIOMEN AVE, READING, PA 19602-1337
(610) 396-9091
Mailing address
PO BOX 13614, READING, PA 19612-3614
(610) 396-9091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020649
PA
Other
Enumeration date
06/13/2017
Last updated
07/10/2019
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