Individual
AMANDA EVE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
661 N ROYAL TOWER DR, IRMO, SC 29063-2603
(843) 715-1912
Mailing address
661 N ROYAL TOWER DR, IRMO, SC 29063-2603
(843) 715-1912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10270
SC
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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