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Individual

AMANDA D WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4691 BLUFFSIDE CT, MARIETTA, GA 30066-1200
(770) 885-2884
Mailing address
4691 BLUFFSIDE CT, MARIETTA, GA 30066-1200
(770) 885-2884

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
87-3238268
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87-3238268
GA
Enumeration date
10/28/2021
Last updated
10/28/2021
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