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1114293248
AMANDA CHRISTINE BANTZ
COLUMBIA, MO
NPI
1114293248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MO 2011037451)
Enumeration Date
2012-03-22
Last Update Date
2012-03-22
Business Address
AMANDA CHRISTINE BANTZ LCSW
18 CLINTON DR.
COLUMBIA, MO 65203
Phone number: 573-529-0672
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Mailing Address
AMANDA CHRISTINE BANTZ LCSW
18 CLINTON DR
COLUMBIA, MO 65203-2107
Phone number: 573-529-0672
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