Individual
AMANDA LEANN SIDDONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3514 COUNTRY CLUB AVE STE 5AND6, FORT SMITH, AR 72903-3300
(479) 657-6636
Mailing address
6090 E HIGHWAY 10, GREENWOOD, AR 72936-8510
(479) 206-2456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2537-C
AR
1041C0700X
Clinical Social Worker
Primary
10136-C
AR
Other
Enumeration date
12/02/2021
Last updated
12/04/2024
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