Provider Information for 1174672620
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Mrs. AMANDA HIGH LCSW
Other Names:Professional Name:Mrs. AMANDA SIMS-HIGH LCSWSex: Female
NPI: 1174672620
Last Updated: 2020-03-17
Certification Date: 2020-03-17
Certification Date: 2020-03-17
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1174672620 | ||||||||||||
| Enumeration Date | 2007-01-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 655 SOUTH 7TH STREET BLDG 700 78 MDG/SGOW-F ROBINS AFB, GA 31098-2227 United States Phone: 478-327-8402 | Fax: | ||||||||||||
| Primary Practice Address | 655 SOUTH 7TH STREET BLDG 700 78 MDG/SGOW-F ROBINS AFB, GA 31098-2227 United States Phone: 478-327-8402 | Fax: | ||||||||||||
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