Individual
AMANDA DAWN PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N MAIN ST, TAYLORVILLE, IL 62568-1668
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017278
IL
Other
Enumeration date
10/02/2012
Last updated
01/08/2019
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