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Individual

AMANDA JO BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS/P

Contact information

Practice address
2624 GEORGIA AVE APT 43, KENNER, LA 70062-5560
(317) 697-4955
Mailing address
2624 GEORGIA AVE APT 43, KENNER, LA 70062-5560
(317) 697-4955

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/08/2019
Last updated
05/08/2019
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