Individual
AMANDA LANIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 E DORTHA AVE APT I, FLAGSTAFF, AZ 86004-3663
(719) 332-8570
Mailing address
2200 E DORTHA AVE APT I, FLAGSTAFF, AZ 86004-3663
(719) 332-8570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-22254
AZ
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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