Individual
AMANDA ROBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 LENWOOD DR, SLIDELL, LA 70458-1221
(985) 687-0174
Mailing address
555 LENWOOD DR, SLIDELL, LA 70458-1221
(985) 687-0174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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