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Individual

AMANDA BURICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3618 BRAMBLETON AVE, ROANOKE, VA 24018-3659
(540) 336-4924
Mailing address
998 HUMMINGBIRD LN, STAR TANNERY, VA 22654-3169
(540) 336-4924

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
745662
VA

Other

Enumeration date
07/01/2025
Last updated
07/01/2025
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