Individual
AMANDA DAWN TEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 KING ST, NORTHAMPTON, MA 01060-3234
(413) 665-8717
(413) 665-9383
Mailing address
131 KING ST, NORTHAMPTON, MA 01060-3234
(413) 665-8717
(413) 665-9383
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2305210423
VA
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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