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Individual

MRS. AMANDA GAIL GREER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
412 W MAIN ST, CAMPBELLSVILLE, KY 42718-2408
(270) 789-6762
Mailing address
412 W MAIN ST, CAMPBELLSVILLE, KY 42718-2408
(270) 789-6762

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
000076629
KY

Other

Enumeration date
07/26/2013
Last updated
07/26/2013
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