Individual
MRS. AMANDA SERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
322 N MAIN ST, KOKOMO, IN 46901-4622
(765) 453-8555
(765) 453-8020
Mailing address
322 N MAIN ST, KOKOMO, IN 46901-4622
(765) 453-8555
(765) 453-8020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006613A
IN
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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