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1104516970
AMANDA B DORMAN
SPRINGFIELD, MO
NPI
1104516970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
251S00000X
Enumeration Date
2023-05-15
Last Update Date
2023-09-19
Business Address
AMANDA B DORMAN MS, QMHP
1037 W STATE ST
SPRINGFIELD, MO 65806-2812
Phone number: 253-883-7951
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Mailing Address
AMANDA B DORMAN MS, QMHP
1037 W STATE ST
SPRINGFIELD, MO 65806-2812
Phone number: 253-883-7951
Copy
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