Amanda Katherine Diehl LMSW

NPI 1780984419 - Social Worker - 104100000X

NPI Details
NPI 1780984419
Gender Female
Enumeration Date 10/28/2010
Last Updated 10/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2411 W MAIN ST
JACKSONVILLE AR, 72076-4211, US
Phone (501) 982-5402
Fax
Business Location
2411 W MAIN ST
JACKSONVILLE AR, 72076-4211, US
Phone (501) 982-5402
Fax
Toxanomy
Taxonomy Code 104100000X
License State Arkansas
License Number 2495-M
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According to our database, Miss Amanda Katherine Diehl LMSW NPI is 1780984419, taxonomy code is 104100000X and license number is 2495-M, license state is located at Arkansas. Amanda Katherine Diehl LMSW physically located at 2411 W Main St, Jacksonville AR, 72076-4211. NPI Number Amanda Katherine Diehl LMSW has the Individual type.

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1780984419 NPI number is provided on an as is basis without warranty of any kind. 1780984419 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Katherine Diehl LMSW are for informational purposes only.