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Individual

AMANDA MARIE FREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
(410) 334-6961
Mailing address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
(410) 334-6961

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
21076
MD
104100000X
Social Worker
Primary
21076
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
609550001
MD
Enumeration date
02/09/2018
Last updated
02/12/2018
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