Individual
AMANDA SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(413) 391-6235
Mailing address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(704) 275-2834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-19-40270
—
Other
Enumeration date
06/09/2011
Last updated
01/06/2020
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