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Individual

AMANDA FELGENHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178016870
IL
106S00000X
Behavior Technician
BACB360427
IL

Other

Enumeration date
04/26/2017
Last updated
11/13/2025
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