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1164136271
AMANDA WADE
PRATT, KS
NPI
1164136271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: KS LPC3578)
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
AMANDA WADE LPC
200 COMMODORE ST
PRATT, KS 67124-2903
Phone number: 620-450-1163
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Mailing Address
AMANDA WADE LPC
200 COMMODORE ST
PRATT, KS 67124-2903
Phone number:
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