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Individual

AMANDA MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
272 SCHOOL AVE, WEST FORK, AR 72774-3124
(479) 770-0744
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
12/12/2017
Last updated
12/12/2017
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