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Individual

AMANDA MAE HIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
410 S. 5TH ST., MANKATO, MN 56001
(507) 304-4319
(507) 304-4160
Mailing address
410 S. 5TH ST., MANKATO, MN 56001
(507) 304-4319
(507) 304-4160

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20237
MN

Other

Enumeration date
05/09/2018
Last updated
09/16/2020
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