Individual
AMANDA M MAUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
3401 BERRYWOOD DR STE 101, COLUMBIA, MO 65201-6515
(573) 777-8455
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018017098
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490064870
—
MO
Enumeration date
11/16/2018
Last updated
12/01/2020
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