Individual
AMANDA LEFTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
400 N WASHINGTON ST STE 229, FARMINGTON, MO 63640-1716
(573) 218-9653
(573) 803-1405
Mailing address
400 N WASHINGTON ST STE 229, FARMINGTON, MO 63640-1716
(573) 218-9653
(573) 803-1405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019002280
MO
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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