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Individual

AMANDA SEETS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SSP, NCSP

Contact information

Practice address
807 N MATTIS AVE, CHAMPAIGN, IL 61821-2448
(217) 892-8877
Mailing address
2808 SUSAN STONE DR, URBANA, IL 61802-7018

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1062703
IL

Other

Enumeration date
09/22/2017
Last updated
09/22/2017
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