Individual
AMANDA MICHELLE BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3704 COLISEUM BLVD, ALEXANDRIA, LA 71303-3625
(318) 442-8026
Mailing address
3704 COLISEUM BLVD, ALEXANDRIA, LA 71303-3625
(318) 442-8026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417252230
—
LA
Enumeration date
10/04/2018
Last updated
10/04/2018
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