Individual
MRS. AMANDA BATES LANTHRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
430 N. JEFFERSON ST., MILLEDGEVILLE, GA 31061-2606
(478) 445-4817
(478) 445-4963
Mailing address
PO BOX 1827, MILLEDGEVILLE, GA 31059-1827
(478) 445-4817
(478) 445-4963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005377
GA
Other
Enumeration date
11/29/2012
Last updated
12/17/2014
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