AMANDA DOMAN

BLOOMINGTON, IL
NPI1205960366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  25358)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- AMANDA DOMAN AA,CADC
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number: 309-827-6026
Mailing Address
-- AMANDA DOMAN AA,CADC
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number: 309-827-6026
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