Individual
MISS AMANDA R PARISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 SOUTHRIDGE RD APT 4, TAHLEQUAH, OK 74464-5697
(918) 607-8867
Mailing address
173 SOUTHRIDGE RD APT 4, TAHLEQUAH, OK 74464-5697
(918) 607-8867
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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