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Individual

AMANDA BEAUMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1951 BISHOP LN STE 300, LOUISVILLE, KY 40218-1950
(502) 446-5610
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9425

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
260243
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7101065210
KY
Enumeration date
04/10/2022
Last updated
07/25/2025
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