Individual
AMANDA KATHLEEN SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CAS, LPA
Contact information
Practice address
129 BONNELL CT, CARY, NC 27511-5401
(315) 447-3712
Mailing address
129 BONNELL CT, CARY, NC 27511-5401
(315) 447-3712
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6400
NC
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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