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Individual

AMANDA DAWN CARPICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LISW

Contact information

Practice address
300 W BROADWAY, SUITE 7, COUNCIL BLUFFS, IA 51503-9019
(712) 242-1040
(712) 242-0326
Mailing address
300 W BROADWAY, SUITE 7, COUNCIL BLUFFS, IA 51503-9019
(712) 242-1040
(712) 242-0326

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
008111
IA
1041C0700X
Clinical Social Worker
Primary
1390
NE

Other

Enumeration date
01/05/2012
Last updated
05/13/2015
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