Individual
AMANDA MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
321 W MAPLE ST, NEW LENOX, IL 60451-1624
(708) 675-9247
Mailing address
24421 SHAWNEE LN, MANHATTAN, IL 60442-1428
(708) 675-9247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020359
IL
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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