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1316776446
AMANDA JOHNSON
TERRE HAUTE, IN
NPI
1316776446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
AMANDA JOHNSON BS, MLD
619 WASHINGTON AVE
TERRE HAUTE, IN 47802-1128
Phone number: 812-917-5006
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Mailing Address
AMANDA JOHNSON BS, MLD
619 WASHINGTON AVE
TERRE HAUTE, IN 47802-1128
Phone number: 812-917-5006
Copy
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