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1134849458
AMANDA P GOLD
CHAMPAIGN, IL
NPI
1134849458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
Ms. AMANDA P GOLD
411 E PARK ST STE 106
CHAMPAIGN, IL 61820-3862
Phone number: 217-714-7042
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Mailing Address
Ms. AMANDA P GOLD
411 E PARK ST STE 106
CHAMPAIGN, IL 61820-3862
Phone number: 217-714-7042
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