Individual
MS. AMANDA MARIE DAVEE LOMAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4944 PARKWAY PLAZA BLVD, SUITE 300, CHARLOTTE, NC 28217-1972
(704) 930-2456
Mailing address
1308 SURRY DR, GREENSBORO, NC 27408-6120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22183
NC
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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