Individual
AMANDA HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W MARKET ST, COLUMBIA CITY, IN 46725-2311
(260) 248-8176
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
(574) 267-7169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009452A
IN
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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