Individual
AMY M KELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, BSL
Contact information
Practice address
1000 COMMERCE PARK DR, SUITE 110, WILLIAMSPORT, PA 17701-5475
(570) 323-6944
(570) 323-1812
Mailing address
320 HIGHLAND DR, P.O. BOX 597, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-0616
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BH002264
PA
104100000X
Social Worker
Primary
SW137320
PA
Other
Enumeration date
08/29/2014
Last updated
08/24/2020
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