Provider Information for 1598238586
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AMANDA B REID MA, ALC
Sex: Female
NPI: 1598238586
Last Updated: 2019-09-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
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| NPI | 1598238586 | ||||||||||||||
| Enumeration Date | 2019-01-02 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 1211 28TH ST S BIRMINGHAM, AL 35205-1833 United States Phone: 205-617-6638 | Fax: | ||||||||||||||
| Primary Practice Address | 14 OFFICE PARK CIR STE 102 MOUNTAIN BRK, AL 35223-2519 United States Phone: 205-617-6638 | Fax: | ||||||||||||||
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