Individual
AMANDA LORELLE GITOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5395 ESTATE OFFICE DR STE 15395, MEMPHIS, TN 38119-0614
(901) 232-1956
Mailing address
7856 ALLEN RIDGE LN, OLIVE BRANCH, MS 38654-9782
(631) 245-9909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6364
TN
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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