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Individual

AMANDA CAROLYN DUNEHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
128 JOHN KING RD STE 18, CRESTVIEW, FL 32539-5731
(850) 333-1279
(850) 634-6079
Mailing address
40 STATE HIGHWAY 83, DEFUNIAK SPGS, FL 32433-7404
(850) 585-9189
(850) 951-0898

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/25/2021
Last updated
06/25/2021
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