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Individual

AMANDA L LOWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1720 BEACON ST, FORT WAYNE, IN 46805
(260) 373-8000
(260) 373-8034
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007912A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
945300083
MEDICARE
IN
Enumeration date
08/05/2014
Last updated
02/12/2026
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