Provider Information for 1447890074
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AMANDA VAN MILLIGAN LMHC
Sex: Female
NPI: 1447890074
Last Updated: 2020-01-12
Certification Date: 2020-01-12
Certification Date: 2020-01-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447890074 | ||||||||
| Enumeration Date | 2020-01-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7831 EAKER CT BROWNSBURG, IN 46112-8435 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1701 N SENATE AVE INDIANAPOLIS, IN 46202-5306 United States Phone: 317-962-6087 | Fax: | ||||||||
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