Individual
MS. AMANDA JANE LIPPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S POTOMAC ST, HAGERSTOWN, MD 21740-6680
(301) 264-8342
Mailing address
70 MANOR DR APT 203, HAGERSTOWN, MD 21740-8828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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