Individual
MS. AMANDA S PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
78 SPRINGDALE RD, MONTGOMERY, IL 60538-2445
(331) 725-0067
Mailing address
78 SPRINGDALE RD, MONTGOMERY, IL 60538-2445
(331) 725-0067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017533
IL
Other
Enumeration date
11/28/2006
Last updated
04/03/2016
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