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1215438239
AMANDA L MAHAN
PHOENIX, AZ
NPI
1215438239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-16827)
Enumeration Date
2018-02-25
Last Update Date
2018-02-25
Business Address
AMANDA L MAHAN LAC
2060 W WHISPERING WIND DR STE 270
PHOENIX, AZ 85085-2869
Phone number: 480-653-8434
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Mailing Address
AMANDA L MAHAN LAC
1314 E 3RD ST
MESA, AZ 85203-8116
Phone number: 480-258-1826
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