Individual
AMANDA AUTUMN KINNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.ED, CAGS
Contact information
Practice address
4500 N 155TH AVE, GOODYEAR, AZ 85395-8397
(623) 570-3876
Mailing address
4500 N 155TH AVE, GOODYEAR, AZ 85395-8397
(623) 570-3876
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3442757
AZ
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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