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Individual

AMANDA SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
448 NEAL ST, COOKEVILLE, TN 38501-4781
(615) 708-3101
Mailing address
149 DARLENE DR, SPARTA, TN 38583-5848
(615) 708-3101

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2464
TN

Other

Enumeration date
04/05/2025
Last updated
04/05/2025
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