Individual
AMANDA LYNNETTE THURMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW21756
FL
104100000X
Social Worker
13097
LA
1041C0700X
Clinical Social Worker
Primary
34008172A
IN
Other
Enumeration date
03/02/2015
Last updated
09/10/2024
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