Provider Information for 1467791996
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AMY CONWELL MA
Sex: Female
NPI: 1467791996
Last Updated: 2013-02-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1467791996 | ||||||||
| Enumeration Date | 2013-02-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1440 RUSSELL RD PAOLI, PA 19301-1236 United States Phone: 610-644-6464 | Fax:610-889-0732 | ||||||||
| Primary Practice Address | 491 JOHN YOUNG WAY SUITE 300 EXTON, PA 19341-2567 United States Phone: 610-644-6464 | Fax:610-889-0732 | ||||||||
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