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Individual

AMANDA RING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
819 CENTRAL AVE, BAY ST LOUIS, MS 39520-3913
(228) 467-1881
(228) 466-4359
Mailing address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 467-1881
(228) 466-4359

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M8839
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00018213
MS
Enumeration date
04/14/2017
Last updated
04/14/2017
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