Individual
AMANDA SHAY HERENDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
501 W WASHINGTON ST, NORTH WEBSTER, IN 46555-0751
(574) 834-1393
(833) 527-8322
Mailing address
PO BOX 751, NORTH WEBSTER, IN 46555-0751
(574) 834-1393
(833) 527-8322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008027A
IN
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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