Amy Lynn Canavan LSW

NPI 1720318249 - Social Worker - 104100000X

NPI Details
NPI 1720318249
Gender Female
Enumeration Date 01/06/2010
Last Updated 01/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2907 PLEASANT VALLEY BLVD
ALTOONA PA, 16602-4305, US
Phone (814) 943-8164
Fax
Business Location
510 ORCHARD ST
PORTAGE PA, 15946-1626, US
Phone (814) 736-3437
Fax
Toxanomy
Taxonomy Code 104100000X
License State Pennsylvania
License Number SW127030
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According to our database, Mrs. Amy Lynn Canavan LSW NPI is 1720318249, taxonomy code is 104100000X and license number is SW127030, license state is located at Pennsylvania. Amy Lynn Canavan LSW physically located at 2907 Pleasant Valley Blvd, Altoona PA, 16602-4305. NPI Number Amy Lynn Canavan LSW has the Individual type.

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1720318249 NPI number is provided on an as is basis without warranty of any kind. 1720318249 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Lynn Canavan LSW are for informational purposes only.