Individual
AMANDA CAROLINE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-6120
(337) 524-1420
Mailing address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-6120
(337) 524-1420
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4166
LA
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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