Individual
AMANDA DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2119 OAK PARK BLVD, LAKE CHARLES, LA 70601-7863
(337) 497-0034
Mailing address
2119 OAK PARK BLVD, LAKE CHARLES, LA 70601-7863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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