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Individual

AMANDA KAY DUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
9010 PINE TREE CIR, GAINESVILLE, GA 30506-4039
(678) 541-8917
Mailing address
5021 FLORENCE ST, OAKWOOD, GA 30566-2646
(678) 541-8917

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC0016126
CO
101YP2500X
Professional Counselor
Primary
LPC009255
GA

Other

Enumeration date
04/05/2014
Last updated
06/27/2020
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