Individual
AMANDA VENTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
836 N DETROIT ST, LAGRANGE, IN 46761-1112
(800) 342-5653
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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