Individual
MS. AMANDA NICOLE NOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 SUNDEW LN, HIGHLAND, IL 62249-2432
(618) 654-1237
Mailing address
90 SUNDEW LN, HIGHLAND, IL 62249-2432
(618) 654-1237
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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