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1467220020
AMANDA NIST
CHATTANOOGA, TN
NPI
1467220020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 6674)
Enumeration Date
2023-12-13
Last Update Date
2024-10-31
Business Address
AMANDA NIST LCSW
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Phone number: 423-893-6500
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Mailing Address
AMANDA NIST LCSW
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Phone number: 238-936-5004
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