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Individual

AMANDA MCILVOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
121 S PUBLIC SQ, GREENSBURG, KY 42743-1532
(502) 203-4253
Mailing address
69 WILLIS LN, SPRINGFIELD, KY 40069-9444

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
291769
KY

Other

Enumeration date
06/08/2024
Last updated
06/08/2024
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