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Individual

AMANDA LOU HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15179 E 2380 NORTH RD, DANVILLE, IL 61834-7424
(217) 918-4318
Mailing address
15179 E 2380 NORTH RD, DANVILLE, IL 61834-7424
(217) 918-4318

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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