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Individual

AMANDA HARGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SSP

Contact information

Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4700
Mailing address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4700

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1832284
IL

Other

Enumeration date
08/20/2019
Last updated
08/20/2019
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