Individual
AMANDA L MILSAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 FOUNDRY DR STE 1200, WEST LAFAYETTE, IN 47906-3446
(765) 404-6025
(765) 340-8075
Mailing address
101 FOUNDRY DR STE 1200, WEST LAFAYETTE, IN 47906-3446
(765) 404-6025
(765) 340-8075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008858A
IN
Other
Enumeration date
04/03/2019
Last updated
10/02/2024
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