Individual
AMANDA MARLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 DUNN RD, HAZELWOOD, MO 63042-1740
(785) 456-4548
Mailing address
737 DUNN RD, HAZELWOOD, MO 63042-1740
(785) 456-4548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020041663
MO
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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