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1184490591
AMANDA MICHELLE GARDNER
SPRINGFIELD, IL
NPI
1184490591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.019313)
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
AMANDA MICHELLE GARDNER LPC
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 217-545-8000
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Mailing Address
AMANDA MICHELLE GARDNER LPC
3 LINDEN LN
SPRINGFIELD, IL 62712-8986
Phone number: 316-617-4380
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