Individual
AMANDA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2339 LAKE PARK DR, ALBANY, GA 31707-3131
(229) 255-3099
Mailing address
2339 LAKE PARK DR, ALBANY, GA 31707-3131
(229) 255-3099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC006260
GA
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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