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Individual

AMANDA BYNUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
50 VIRGINIA AVE, SHARPSBURG, GA 30277-6947
(706) 383-7275
Mailing address
50 VIRGINIA AVE, SHARPSBURG, GA 30277-6947

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
AMFT000667
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001859
GA

Other

Enumeration date
01/12/2021
Last updated
08/31/2021
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