Individual
AMANDA CHRISTINE SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
437 ROACH RD, DECATURVILLE, TN 38329-4404
(731) 307-5302
Mailing address
437 ROACH RD, DECATURVILLE, TN 38329-4404
(731) 307-5302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000702126
TN
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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