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1164819264
AMANDA BLOODWORTH
SAINT LOUIS, MO
NPI
1164819264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2013000465)
Enumeration Date
2015-04-16
Last Update Date
2015-04-16
Business Address
-- AMANDA BLOODWORTH LPC
10024 OFFICE CENTER AVE STE 100
SAINT LOUIS, MO 63128-1381
Phone number: 314-729-7050
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Mailing Address
-- AMANDA BLOODWORTH LPC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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