Individual
MRS. AMANDA HARTGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
7400 ROPER LN, DAPHNE, AL 36526-5274
(251) 378-6519
(251) 378-6563
Mailing address
7400 ROPER LN, DAPHNE, AL 36526-5274
(251) 378-6519
(251) 378-6563
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2634G
AL
1041C0700X
Clinical Social Worker
Primary
5062C
AL
Other
Enumeration date
09/07/2012
Last updated
08/04/2022
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