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1356807846
AMANDA RHAE DAVIS
SPRINGFIELD, IL
NPI
1356807846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180010366)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
AMANDA RHAE DAVIS LCPC
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5128
Phone number: 217-585-5661
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Mailing Address
AMANDA RHAE DAVIS LCPC
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5128
Phone number: 217-585-5661
Copy
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