Individual
MRS. AMANDA SHEREE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
34 N MAIN ST, ST AUGUSTINE, IL 61474-9800
(309) 351-8584
Mailing address
43 COOPER ST, ST AUGUSTINE, IL 61474
(309) 333-0293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.023038
IL
Other
Enumeration date
05/08/2021
Last updated
10/14/2024
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