Individual
AMANDA WORTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 LEMONWOOD DR, HAVELOCK, NC 28532-9790
(702) 272-6607
Mailing address
205 LEMONWOOD DR, HAVELOCK, NC 28532-9790
(702) 272-6607
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
01/24/2025
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