Individual
MS. AMANDA SUZANNE KORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6409 ABERCORN ST STE B-2, SAVANNAH, GA 31405-5715
(912) 356-1095
Mailing address
6409 ABERCORN ST STE B-2, SAVANNAH, GA 31405-5715
(912) 356-1095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007183
GA
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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