Individual
AMANDA ELIZABETH TRIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S CASS ST, CORINTH, MS 38834-6109
(662) 837-4258
Mailing address
300 SPORTSMAN CLUB RD, BOONEVILLE, MS 38829-7938
(662) 416-1590
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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