Individual
AMANDA LEE SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
734 DEPOT ST, HARWICH, MA 02645-1640
(508) 237-9344
Mailing address
734 DEPOT ST, HARWICH, MA 02645-1640
(508) 237-9344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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