Provider Information for 1912783937
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AMANDA WINN LCSW
Sex: Female
NPI: 1912783937
Last Updated: 2023-09-05
Certification Date: 2023-09-05
Certification Date: 2023-09-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1912783937 | ||||||||
| Enumeration Date | 2023-09-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 151 LEO, IN 46765-0151 United States Phone: 260-438-9399 | Fax: | ||||||||
| Primary Practice Address | 215 E PERRY ST PAULDING, OH 45879-1414 United States Phone: 260-438-9399 | Fax: | ||||||||
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