Provider Information for 1720714868
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AMANDA BLAIR PRESLEY LCSW
Other Names:Professional Name:BLAIR PRESLEY LCSWSex: Female
NPI: 1720714868
Last Updated: 2022-07-30
Certification Date: 2022-07-30
Certification Date: 2022-07-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1720714868 | ||||||||
| Enumeration Date | 2022-07-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 225 CASTLEBERRY DR CONWAY, AR 72034-7798 United States Phone: 501-733-6410 | Fax: | ||||||||
| Primary Practice Address | 225 CASTLEBERRY DR CONWAY, AR 72034-7798 United States Phone: 501-733-6410 | Fax: | ||||||||
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