Individual
AMANDA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 DAVIS RD APT 702, WAYNESBORO, GA 30830-1824
(478) 206-5997
Mailing address
803 DAVIS RD APT 702, WAYNESBORO, GA 30830-1824
(478) 206-5997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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