Provider Information for 1679037352
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AMANDA LEFTRIDGE MSW, LMSW
Sex: Female
NPI: 1679037352
Last Updated: 2019-01-26
Certification Date:
Certification Date:
Details
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NPI | 1679037352 | ||||||||
Enumeration Date | 2019-01-26 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 400 N WASHINGTON ST STE 229 FARMINGTON, MO 63640-1716 United States Phone: 573-218-9653 | Fax:573-803-1405 | ||||||||
Primary Practice Address | 400 N WASHINGTON ST STE 229 FARMINGTON, MO 63640-1716 United States Phone: 573-218-9653 | Fax:573-803-1405 | ||||||||
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