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1316285505
AMY FANTALIS
MEDIA, PA
NPI
1316285505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: PA CW012471)
Enumeration Date
2013-01-22
Last Update Date
2013-01-22
Business Address
AMY FANTALIS MS, MSW, LCSW
42 E FRONT ST
MEDIA, PA 19063-2912
Phone number: 610-627-9060
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Mailing Address
AMY FANTALIS MS, MSW, LCSW
42 E FRONT ST
MEDIA, PA 19063-2912
Phone number: 610-627-9060
Copy
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