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Individual

AMANDA MARIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
117 N MAIN ST APT 3, SELLERSVILLE, PA 18960-2364
(570) 764-7662
(570) 764-7662
Mailing address
117 N MAIN ST APT 3, SELLERSVILLE, PA 18960-2364
(570) 764-7662

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
06/22/2017
Last updated
06/22/2017
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