Individual
MRS. AMY TAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1610 E GRAND AVE, CAMERON, MO 64429-2602
(865) 425-1382
Mailing address
1610 E GRAND AVE, CAMERON, MO 64429-2602
(865) 425-1382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016013017
MO
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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