Individual
AMANDA DURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
104 NORTHTOWN RD, SPARTA, IL 62286-1081
(618) 282-6233
Mailing address
10257 STATE ROUTE 3, RED BUD, IL 62278-4418
(618) 282-6233
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104216
IL
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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